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Contact Information

LAURENCE ATHOS, MD
19830 LAKE CHABOT RD
SUITE D
CASTRO VALLEY, CA94546-4063
 Phone: 510-889-1677
 Fax: 510-889-5823
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAURENCE ATHOS · (Male)

NPI # 1194898510
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G34546
  • CA Medicaid 00G345460
Hospital affiliation(s)
  • EDEN MEDICAL CENTER - (Acute Care)
    20103 LAKE CHABOT ROAD
    CASTRO VALLEY, CA 94546
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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