Apply for a License as:
Disclosure of Social Security Number or Federal Employer Identification Number:
State law requires mandatory disclosure of a Social Security Number (SSN) or Federal
Employer Identification Number (FEIN) for each physician. The number is used for
tax enforcement purposes, for purposes of compliance with any judgment or order
for family support in accordance with Section 17520 of the Family Code, or for verification
of licensure or examination status by a licensing examination entity which uses
a national examination and where licensure is reciprocal with the requesting state.
In addition, without a SSN, you will not be able to apply online or check the status
of your application online. A social security number is required to register for
the BreEZe online application system.