Individual
ANATOL PODOLSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18035 BROOKHUST STREET SUITE 1200, FOUNTAIN VALLEY, CA 92708-9270
(949) 644-6882
(949) 644-2377
Mailing address
4627 SURREY DR, CORONA DEL MAR, CA 92625-2725
(949) 644-4897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G71630
CA
Other
Enumeration date
08/30/2006
Last updated
07/08/2020
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