Agus, David B
Agus, David B is an individual health care provider with primary practice located at 12414 Exposition Blvd , Los Angeles CA 90064-1016. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Agus, David B can be contacted via phone (310) 272-7640.Contact Information
Primary practice address
12414 Exposition Blvd
Los Angeles CA 90064-1016
Phone: (310) 272-7640
Fax: (310) 272-7656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G85631 | California |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | G85631 | California |
Profile Details
| NPI number | 1356328249 |
|---|---|
| LBN Legal business name | Agus, David B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Jun 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356328249 | NPPES |
| California | Other | 1902846306 | GROUP NPI |
| California | Other | GR0100430 | GROUP NPI |
| California | Other | W18762 | GROUP NPI |
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