Organization
GREGORY E. POLITO MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY E POLITO M.D. (OWNER)
(562) 907-7600
Entity
Organization
Contact information
Practice address
8135 PAINTER AVE, SUITE 304, WHITTIER, CA 90602-3102
(562) 907-7600
(562) 907-7602
Mailing address
8135 PAINTER AVE, SUITE 304, WHITTIER, CA 90602-3102
(562) 907-7600
(562) 907-7602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G23699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G236991
—
CA
01
—
EA429A
MEDICARE PTAN
CA
Enumeration date
10/23/2007
Last updated
04/15/2013
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