Individual provider · Type 1 NPI

Daniel Lawrence Polyakov

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1225898372 Active

Practice location

1200 N State St
Los Angeles, CA 90089-1001

Call (714) 512-0466 Map

Mailing address

1200 N State St # C4E100
Los Angeles, CA 90089-1001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225898372

Daniel Lawrence Polyakov's National Provider Identifier is 1225898372, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 19, 2024.