Polse, Sanford Lee
Polse, Sanford Lee is an sole proprietor health care provider with primary practice located at 2625 W Alameda Ave 306, Burbank CA 91505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Polse, Sanford Lee can be contacted via phone (818) 843-4604.Contact Information
Primary practice address
2625 W Alameda Ave 306
Burbank CA 91505
Phone: (818) 843-4604
Fax: (818) 843-4698
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | A21102 | California |
Profile Details
NPI number | 1518924885 |
---|---|
LBN Legal business name | Polse, Sanford Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 28th, 2006 |
Last updated | Aug 17th, 2015 - about 10 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 | 1518924885 | NPPES |
California | MEDICAID | 00A211020 |
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