Provider Demographics
NPI:1578884136
Name:CZUBIAK, CATHERINE P (PA-C)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:P
Last Name:CZUBIAK
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2100 POWELL ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-1826
Mailing Address - Country:US
Mailing Address - Phone:510-350-2600
Mailing Address - Fax:510-879-9100
Practice Address - Street 1:15031 RINALDI ST
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:CA
Practice Address - Zip Code:91345-1207
Practice Address - Country:US
Practice Address - Phone:818-496-4540
Practice Address - Fax:818-898-4565
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA20980363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant