Poniachik, Samuel

Poniachik, Samuel is an individual health care provider with primary practice located at 150 Valpreda Rd , San Marcos CA 92069-2973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Poniachik, Samuel can be contacted via phone (760) 736-6700.

Contact Information

Primary practice address
150 Valpreda Rd San Marcos CA 92069-2973
Fax: (760) 736-6795
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G74757 California

Profile Details

NPI number 1467485078
LBN Legal business name Poniachik, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 18th, 2013 - about 11 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 1467485078 NPPES
California Other W14158 GROUP PTAN
California Other CT483X GROUP PTAN

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