MEDICARE: DR. LAURENCE ATHOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	G34546	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194898510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURENCE ATHOS M.D.

Provider Business Mailing Address
First Line	:	19830 LAKE CHABOT RD
Second Line	:	SUITE D
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-4063
Country	:	US
Telephone Number	:	510-889-1677
Fax Number	:	510-889-5823

Provider Business Practice Location Address
First Line	:	19830 LAKE CHABOT RD
Second Line	:	SUITE D
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-4063
Country	:	US
Telephone Number	:	510-889-1677
Fax Number	:	510-889-5823

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1811990468 — DAVID C BRADSHAW MD PC
Practice Location Address:

19830 LAKE CHABOT RD , STE C
CASTRO VALLEY, CA
94546-4063

Practice Phone: 510-537-7873
Practice Fax:

1891798203 — BAY AREA REHABILITATION MEDICAL GROUP
Practice Location Address:

19830 LAKE CHABOT RD , STE C
CASTRO VALLEY, CA
94546-4063

Practice Phone: 510-537-7873
Practice Fax:

1225109358 — LAURENCE ATHOS M D INC
Practice Location Address:

19830 LAKE CHABOT RD , SUITE D
CASTRO VALLEY, CA
94546-4063

Practice Phone: 510-889-1677
Practice Fax: 510-889-5823

1972749075 — ANGELS HOSPICE, LLC
Practice Location Address:

19830 LAKE CHABOT RD STE B
CASTRO VALLEY, CA
94546-4063

Practice Phone: 510-727-9000
Practice Fax: 510-727-9832

1740504927 — DAVID C. BRADSHAW, M.D. APC
Practice Location Address:

19830 LAKE CHABOT RD , SUITE C
CASTRO VALLEY, CA
94546-4063

Practice Phone: 510-964-0458
Practice Fax: 510-964-0476

Directions to “ DR. LAURENCE ATHOS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.