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DR. SALLY S AGERSBORG M.D. PH.D. NPI 1053505743


NPI Information

NPI: 1053505743
Provider Name: DR. SALLY S AGERSBORG, M.D., PH.D.
Classification: Pathology - 207ZH0000X
Entity Type: Individual

Specialization: Hematology

PECOS Registration: Yes

Address:
175 TECHNOLOGY DR
IRVINE, CA
ZIP 92618
Phone: (949) 540-9421
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DR. Sally S Agersborg, M.D., PH.D. is a hematology pathology in Irvine, CA. The provider is a hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. DR. Sally S Agersborg, M.D., PH.D. NPI is 1053505743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 TECHNOLOGY DR
IRVINE, CA
ZIP 92618-478
Phone: (949) 540-9421

The NPI 1053505743 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 2/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZH0000XPathologyHematology35178SOUTH CAROLINANo
2207ZH0000XPathologyHematology25MA09454000NEW JERSEYNo
3207ZH0000XPathologyHematology263526NEW YORKNo
4207ZH0000XPathologyHematology36038NEBRASKANo
5207ZH0000XPathologyHematologyMD61433822WASHINGTONNo
6207ZH0000XPathologyHematologyME103427FLORIDANo
7207ZH0000XPathologyHematologyN1972TEXASNo
8207ZH0000XPathologyHematologyMD432959PENNSYLVANIANo
9207ZH0000XPathologyHematologyA82499CALIFORNIAYes
10207ZH0000XPathologyHematologyD0066759MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.