| Doctor Name: | VINCENT S POLEK |
| NPI Number: | 1083696462 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G58525 |
| Business Practice Address: | 3751 Katella Ave Los Alamitos, CA - 90702 |
| Business Phone Number: | 5627993294 |
| Business Fax Number: | |
| Mailing Address: | Po Box 15718, IRVINE |
| State: | CA |
| Postal Code: | 926235718 |
| Phone Number: | 9492638620 |
| Fax Number: | 9492631639 |
| NPI Enumeration Date: | 11/19/2005 |
| NPI Last Update Date: | 12/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | G58525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |