Ban, Susan L
Ban, Susan L is an individual health care provider with primary practice located at 17400 Irvine Blvd Suite F, Tustin CA 92780-3030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ban, Susan L can be contacted via phone (714) 838-5610.Contact Information
Primary practice address
17400 Irvine Blvd Suite F
Tustin CA 92780-3030
Phone: (714) 838-5610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A81987 | California |
Profile Details
| NPI number | 1053324970 |
|---|---|
| LBN Legal business name | Ban, Susan L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Aug 30th, 2019 - about 5 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 | 1053324970 | NPPES |
| California | Other | 1689633125 | GROUP NPI |
| California | Other | W1779 | GROUP NPI |
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