Kulubya, Edwin Samuel
Kulubya, Edwin Samuel is an individual health care provider with primary practice located at 3605 Long Beach Blvd Ste 320 , Long Beach CA 90807-4025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kulubya, Edwin Samuel can be contacted via phone (714) 234-7485.Contact Information
Primary practice address
3605 Long Beach Blvd Ste 320
Long Beach CA 90807-4025
Phone: (714) 234-7485
Fax: (714) 701-1071
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | L1100 | Texas |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | G54189 | California |
Profile Details
NPI number | 1922027218 |
---|---|
LBN Legal business name | Kulubya, Edwin Samuel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Aug 16th, 2021 - about 4 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 | 1922027218 | NPPES |
Texas | MEDICAID | 159375801 |
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