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Contact Information

SANFORD L POLSE, MD
2625 W ALAMEDA AVE
306
BURBANK, CA91505
 Phone: 818-843-4604
 Fax: 818-843-4698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for SANFORD L POLSE · (Male)

NPI Number 1518924885
Status Active
Credentials MD
Entity Individual
Enumeration date 04/28/2006
Last updated 08/17/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A21102
  • CA Medicaid 00A211020
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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