Individual
LON SCOTT POLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12630 MONTE VISTA RD, SUITE #104, POWAY, CA 92064-2526
(858) 451-1911
(858) 451-0566
Mailing address
12630 MONTE VISTA RD, SUITE #104, POWAY, CA 92064-2526
(858) 451-1911
(858) 451-0566
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G60369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G603690
—
CA
01
—
180005390
RAILROAD MEDICARE-POWAY
CA
01
—
180016914
RAILROAD MDICARE-LA JOLLA
CA
Enumeration date
05/11/2006
Last updated
02/20/2009
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