Provider Demographics
NPI:1033138714
Name:ATIGA, SCHUBERT JUSAY
Entity Type:Individual
Prefix:DR
First Name:SCHUBERT
Middle Name:JUSAY
Last Name:ATIGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:752 MEDICAL CENTER COURT
Mailing Address - Street 2:#106
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911
Mailing Address - Country:US
Mailing Address - Phone:619-482-8406
Mailing Address - Fax:619-482-6656
Practice Address - Street 1:752 MEDICAL CENTER COURT
Practice Address - Street 2:#106
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911
Practice Address - Country:US
Practice Address - Phone:619-482-8406
Practice Address - Fax:619-482-6656
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53756207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0055800Medicaid
E33303Medicare UPIN
CAGR0055800Medicaid