| Doctor Name: | DR. SALLY S AGERSBORG |
| NPI Number: | 1053505743 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., PH.D. |
| License Number: | D0066759 |
| Business Practice Address: | 33608 Ortega Hwy Bldg A San Juan Capistrano, CA - 926752042 |
| Business Phone Number: | 9497287866 |
| Business Fax Number: | |
| Mailing Address: | 33608 Ortega Hwy, Bldg A SAN JUAN CAPISTRANO |
| State: | CA |
| Postal Code: | 926752042 |
| Phone Number: | 9497287866 |
| Fax Number: | |
| NPI Enumeration Date: | 09/05/2007 |
| NPI Last Update Date: | 09/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207ZH0000X |
| License Number: | D0066759 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pathology |
| Taxonomy Specialization: | Hematology |
| Taxonomy Definition: | A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |