Organization
PULMONARY ASSOCIATES MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F. POLSTER MD (PHYSICIAN/OWNER)
(619) 462-3360
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, SUITE 360, LA MESA, CA 91942-3020
(619) 462-3360
(619) 462-3363
Mailing address
5565 GROSSMONT CENTER DR, SUITE 360, LA MESA, CA 91942-3020
(619) 462-3360
(619) 462-3363
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ71905Z
—
CA
Enumeration date
08/31/2006
Last updated
04/08/2014
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