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LEO POLOSAJIAN MD A PROFESSIONAL MEDICAL CORPORATION NPI 1912122631


NPI Information

NPI: 1912122631
Provider Name: LEO POLOSAJIAN, MD, A PROFESSIONAL MEDICAL CORPORATION
Classification: Internal Medicine - 207RC0001X
Entity Type: Organization

Specialization: Clinical Cardiac Electrophysiology

Address:
7640 TAMPA AVE
SUITE 101
RESEDA, CA
ZIP 91335
Phone: (818) 718-1600
Get Directions

LEO POLOSAJIAN, MD, A PROFESSIONAL MEDICAL CORPORATION is a clinical cardiac electrophysiology internal medicine in Reseda, CA. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. LEO POLOSAJIAN, MD, A PROFESSIONAL MEDICAL CORPORATION NPI is 1912122631. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7640 TAMPA AVE
SUITE 101
RESEDA, CA
ZIP 91335-735
Phone: (818) 718-1600
Fax: (818) 718-1920

The provider's authorized official is Leo Polosajian .
The authorized official title is President and has the following contact phone number (818) 718-1600.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 9/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A81080OTHERCALIFORNIACA LICENSE NUMBER
21174664783OTHERCALIFORNIAPERSONAL NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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