Individual
DR. LEO POLOSAJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7640 TAMPA AVE STE 101, RESEDA, CA 91335-1713
(818) 718-1600
(818) 343-1612
Mailing address
4930 BALBOA BLVD, NO 261278, ENCINO, CA 91426-7062
(818) 718-1600
(818) 718-1920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A81080
CA
207RC0000X
Cardiovascular Disease Physician
A81080
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A81080
CA
Other
Enumeration date
02/08/2007
Last updated
09/25/2020
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