Individual
DR. RUTH L POLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
227 W JANSS RD, SUITE 150, THOUSAND OAKS, CA 91360-1848
(805) 496-7755
(805) 379-3913
Mailing address
2190 LYNN RD, SUITE 220, THOUSAND OAKS, CA 91360-1980
(805) 495-8050
(805) 496-2160
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G44076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G447060
—
CA
Enumeration date
01/25/2006
Last updated
08/11/2011
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