# ANATOL PODOLSKY MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093223034
- **Authorized official:** ANATOL PODOLSKY MD (CEO / OWNER)
- **Authorized official phone:** (949) 644-6882

## Contact information

- **Practice address:** 18035 BROOKHURST ST STE 1200, FOUNTAIN VALLEY, CA 92708-6738
- **Practice address phone:** (949) 644-6882
- **Practice address fax:** (949) 644-2377
- **Mailing address:** 400 NEWPORT CENTER DR STE 601, NEWPORT BEACH, CA 92660-7685
- **Mailing address phone:** (949) 644-6882
- **Mailing address fax:** (949) 644-2377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2018
- **Last updated:** 07/06/2020