Polanco, Juan M

Polanco, Juan M is an sole proprietor health care provider with primary practice located at 1050 Linden Ave , Long Beach CA 90813-3321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Polanco, Juan M can be contacted via phone (562) 491-9060.

Contact Information

Primary practice address
1050 Linden Ave Long Beach CA 90813-3321
Phone: (562) 491-9060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A63064 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A63064 California

Profile Details

NPI number 1689609489
LBN Legal business name Polanco, Juan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jan 3rd, 2008 - about 16 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 1689609489 NPPES
California MEDICAID 00A630640

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