Individual
GARY POLSFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 E 4TH ST, EMERGENCY DEPARTMENT, NATIONAL CITY, CA 91950-2026
(619) 470-4321
Mailing address
111 N SEPULVEDA BLVD, SUITE 210, MANHATTAN BEACH, CA 90266-6861
(310) 379-2134
(310) 379-4856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A066536
CA
Other
Enumeration date
06/06/2006
Last updated
07/25/2011
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