Dr. Sally S Agersborg, MD, PHD
Pathology, Hematology in Irvine, California
1053505743- Practice location
- 175 Technology Dr, Irvine, CA 92618-2478
- Phone
- 949-540-9421
- Fax
- —
- Last updated
- February 9, 2024
Dr. Sally S Agersborg, MD, PHD is a Pathology, Hematology based in Irvine, CA. Dr. Sally S Agersborg, MD, PHD holds the professional credentials of MD, PHD. The NPI number for Dr. Sally S Agersborg, MD, PHD is 1053505743 and holds license No. 35178 (SC). The current practice location address is 175 Technology Dr, Irvine, CA 92618-2478 and the office can be reached by phone at 949-540-9421. The NPI was assigned on September 5, 2007 and the record was last updated in NPPES on February 9, 2024.
●Provider Profile Details
- NPI Number
- 1053505743
- Provider Name
- Sally S Agersborg
- Credential
- MD, PHD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Pathology, Hematology · 207ZH0000X
- Sole Proprietor
- No
- Enumeration Date
- September 5, 2007
- Last Update Date
- February 9, 2024
- Certification Date
- February 8, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 175 Technology Dr
Irvine, CA 92618-2478 - City
- Irvine
- State
- California
- ZIP
- 92618-2478
- Country
- US
- Phone Number
- 949-540-9421
✉Business Mailing Address
- Address
- Po Box 947365
Atlanta, GA 30394-7365 - City
- Atlanta
- State
- GA
- ZIP
- 30394-7365
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Pathology, Hematology | 207ZH0000X | No | 35178 | SC |
| Pathology, Hematology | 207ZH0000X | No | 25MA09454000 | NJ |
| Pathology, Hematology | 207ZH0000X | No | 263526 | NY |
| Pathology, Hematology | 207ZH0000X | No | 36038 | NE |
| Pathology, Hematology | 207ZH0000X | No | MD61433822 | WA |
| Pathology, Hematology | 207ZH0000X | No | ME103427 | FL |
| Pathology, Hematology | 207ZH0000X | No | N1972 | TX |
| Pathology, Hematology | 207ZH0000X | No | MD432959 | PA |
| Pathology, Hematology | 207ZH0000X | Yes | A82499 | CA |
| Pathology, Hematology | 207ZH0000X | No | D0066759 | MD |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Irvine →?Frequently Asked Questions
What is the NPI number of Dr. Sally S Agersborg, MD, PHD?
The NPI number of Dr. Sally S Agersborg, MD, PHD is 1053505743. It was assigned on September 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Sally S Agersborg, MD, PHD?
Dr. Sally S Agersborg, MD, PHD is registered under the primary taxonomy Pathology, Hematology (code 207ZH0000X) and holds license No. 35178 (SC).
Where does Dr. Sally S Agersborg, MD, PHD practice?
The practice location is 175 Technology Dr, Irvine, CA 92618-2478. The office can be reached at 949-540-9421 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053505743 directly on the NPPES registry website at npiregistry.cms.hhs.gov.