Individual provider · Type 1 NPI
Owen Shibata, MD
General Practice Physician · Oakland, CA
NPI number
1396019303
Active
Practice location
2100 Embarcadero
Oakland, CA 94606-5302
Mailing address
632 Palomino Dr
Pleasanton, CA 94566-6814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G66533 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1396019303
Owen Shibata, MD's National Provider Identifier is 1396019303, issued on Mar 8, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Oakland, CA. The record was last updated on Mar 8, 2012.