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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922027218 NPPES
Texas MEDICAID 159375801

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