Polek, Vincent S

Polek, Vincent S is an individual health care provider with primary practice located at 3751 Katella Ave , Los Alamitos CA 90702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Polek, Vincent S can be contacted via phone (562) 799-3294.

Contact Information

Primary practice address
3751 Katella Ave Los Alamitos CA 90702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G58525 California

Profile Details

NPI number 1083696462
LBN Legal business name Polek, Vincent S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Dec 6th, 2007 - about 17 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 1083696462 NPPES
California MEDICAID 00G585250
California Other 00G585250

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