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
Fax: (818) 843-4698
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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 1518924885 NPPES
California MEDICAID 00A211020

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