| Ej Politoske Md Inc | |
|
341 Magnolia Avenue Suite 207 Corona CA 92879 | |
| (951) 734-9930 | |
| (951) 734-9692 |
| Full Name | Ej Politoske Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 341 Magnolia Avenue, Corona, California |
| Authorized Official Name and Position | Edward J Politoske (MD OWNER) |
| Authorized Official Contact | 9517349930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ej Politoske Md Inc 341 Magnolia Avenue Suite 207 Corona CA 92879 Ph: (951) 734-9930 | Ej Politoske Md Inc 341 Magnolia Avenue Suite 207 Corona CA 92879 Ph: (951) 734-9930 |
| NPI Number | 1316033517 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 10/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316033517 | NPI | - | NPPES |
| 00A418060 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A41806 (California) | Primary |
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