Individual
DAVID ALLEN POLSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
1401 S GRAND AVE, LOS ANGELES, CA 90015-3010
(213) 748-2411
Mailing address
2127 CAMORILLA DR, LOS ANGELES, CA 90065-3401
(323) 907-9895
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
95009210
CA
363L00000X
Nurse Practitioner
AP61493227
WA
Other
Enumeration date
07/03/2018
Last updated
10/20/2023
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