Provider Demographics
NPI:1588730238
Name:DREJET, ANNE ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:ELIZABETH
Last Name:DREJET
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:PO BOX 25420
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93002-2277
Mailing Address - Country:US
Mailing Address - Phone:805-650-5910
Mailing Address - Fax:805-650-5972
Practice Address - Street 1:4181 STATE STREET
Practice Address - Street 2:MEDICAL GROUP PATHOLOGY LAB
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110
Practice Address - Country:US
Practice Address - Phone:805-563-1800
Practice Address - Fax:805-569-6233
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA524340207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1356409379OtherGROUP NPI
CAZZZ42967ZOtherBLUE SHIELD
CA00A524340Medicaid
CAA524340OtherMEDICAL BOARD OF CA
CA1356409379OtherGROUP NPI
G33756Medicare UPIN
CAA524340OtherMEDICAL BOARD OF CA
CADL290ZMedicare PIN
CAZZZ42967ZOtherBLUE SHIELD