Polan, Ruth L

Polan, Ruth L is an individual health care provider with primary practice located at 227 W Janss Rd Suite 150, Thousand Oaks CA 91360-1848. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Polan, Ruth L can be contacted via phone (805) 496-7755.

Contact Information

Primary practice address
227 W Janss Rd Suite 150 Thousand Oaks CA 91360-1848
Phone: (805) 496-7755
Fax: (805) 379-3913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G44076 California

Profile Details

NPI number 1629048350
LBN Legal business name Polan, Ruth L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Aug 11th, 2011 - about 13 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 1629048350 NPPES
California MEDICAID 00G447060

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