Individual
DR. MONTY BRIAN POLONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W DUARTE RD, SUITE 202, ARCADIA, CA 91007-7606
(626) 446-4461
(626) 445-0647
Mailing address
622 W DUARTE RD, SUITE 202, ARCADIA, CA 91007-7606
(626) 446-4461
(626) 445-0647
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G62039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB236677
MEDICARE GR ID
CA
01
—
G62039
STATE MEDICAL LICENSE
CA
Enumeration date
10/14/2006
Last updated
03/28/2017
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