Athos, Laurence

Athos, Laurence is an sole proprietor health care provider with primary practice located at 19830 Lake Chabot Rd Suite D, Castro Valley CA 94546-4063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Athos, Laurence can be contacted via phone (510) 889-1677.

Contact Information

Primary practice address
19830 Lake Chabot Rd Suite D Castro Valley CA 94546-4063
Phone: (510) 889-1677
Fax: (510) 889-5823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G34546 California

Profile Details

NPI number 1194898510
LBN Legal business name Athos, Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194898510 NPPES
California MEDICAID 00G345460

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