Provider Demographics
NPI:1720315971
Name:SCHABER, BETHANN (MD)
Entity Type:Individual
Prefix:DR
First Name:BETHANN
Middle Name:
Last Name:SCHABER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 OVERLAND AVE
Mailing Address - Street 2:SAN DIEGO CO MEDICAL EXAMINERS, STE. 1411
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1200
Mailing Address - Country:US
Mailing Address - Phone:858-694-2904
Mailing Address - Fax:
Practice Address - Street 1:5555 OVERLAND AVE
Practice Address - Street 2:SAN DIEGO CO MEDICAL EXAMINERS, STE. 1411
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1200
Practice Address - Country:US
Practice Address - Phone:858-694-2904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA063181207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology