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Organization
SHIVANAND R POLE MD INC
Active
Organization
SHIVANAND R POLE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVANAND R POLE MD (PRESIDENT)
(562) 546-7282
Entity
Organization
Contact information
Practice address
3801 KATELLA AVE STE 321, LOS ALAMITOS, CA 90720-3369
(562) 546-7282
(562) 546-7284
Mailing address
3801 KATELLA AVE STE 321, LOS ALAMITOS, CA 90720-3369
(562) 546-7282
(562) 546-7284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A101547
CA
261Q00000X
Clinic/Center
A101547
CA
Other
Enumeration date
11/09/2011
Last updated
10/11/2025
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