Individual
DR. ANDREW D POLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
488 E VALLEY PKWY, SUITE 100, ESCONDIDO, CA 92025-3363
(760) 739-5400
(760) 739-8471
Mailing address
PO BOX 462750, ESCONDIDO, CA 92046-2750
(760) 520-8500
(760) 520-8523
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G45468
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G45468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G454680
—
CA
Enumeration date
03/28/2006
Last updated
12/19/2007
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