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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689609489 | NPPES |
California | MEDICAID | 00A630640 |
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