Engwall, Scott Alan
Engwall, Scott Alan is an individual health care provider with primary practice located at 101 The City Drive South Uci Medical Center, Orange CA 92868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Engwall, Scott Alan can be contacted via phone (714) 456-8978.Contact Information
Primary practice address
101 The City Drive South Uci Medical Center
Orange CA 92868
Phone: (714) 456-8978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G64211 | California |
Profile Details
| NPI number | 1851378392 |
|---|---|
| LBN Legal business name | Engwall, Scott Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2005 |
| Last updated | Feb 14th, 2008 - about 16 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 | 1851378392 | NPPES |
| California | MEDICAID | 00G642110 | |
| California | Other | 00G642110 |
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