Individual
DR. SANFORD LEE POLSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2625 W ALAMEDA AVE, 306, BURBANK, CA 91505
(818) 843-4604
(818) 843-4698
Mailing address
2625 W ALAMEDA AVE, 306, BURBANK, CA 91505
(818) 843-4604
(818) 843-4698
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A21102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A211020
—
CA
Enumeration date
04/28/2006
Last updated
08/17/2015
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