| Organization Name: | EDITH A. JONES-POLAND MD PROFESSIONAL CORP |
| NPI Number: | 1083748032 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDITH ANN JONES-POLAND (OWNER) |
| Mailing Address: | 56925 Yucca Trl Number 232 Yucca Valley |
| State: | CA US |
| Postal Code: | 922847913 |
| Phone Number: | 7604012502 |
| Fax Number: | |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 12/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A76482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |