Mario Polanco Jr.


Address: 5301 Whittier Blvd, Atrium Suite, Los Angeles, CA 90022-4084

Mario Polanco Jr. (NPI# 1073640587, PAC ID# 7517244569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1073640587
PAC ID by PECOS 7517244569
Professional Enrollment ID I20170501001553
Full Name Mario Polanco Jr.
Address 5301 Whittier Blvd
Atrium Suite
Los Angeles
CA 90022-4084
Gender M
Graduation Year 1983
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
5301 Whittier Blvd, Atrium Suite, Los Angeles, CA 90022-4084

Organization Information

Office Location

Street Address 5301 WHITTIER BLVD
ATRIUM SUITE
City LOS ANGELES
State CA
Zip 90022-4084

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Competitor

Search similar physicians

City LOS ANGELES
Zip Code 90022
Specialty PHYSICAL THERAPY
City + Specialty LOS ANGELES + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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