| Doctor Name: | DAVID STANLEY PODER |
| NPI Number: | 1184986226 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A4153 |
| Business Practice Address: | 6289 Pacific Pointe Dr Huntington Beach, CA - 926487522 |
| Business Phone Number: | 7148491826 |
| Business Fax Number: | 7143747438 |
| Mailing Address: | 6289 Pacific Pointe Dr, HUNTINGTON BEACH |
| State: | CA |
| Postal Code: | 926487522 |
| Phone Number: | 7148491826 |
| Fax Number: | 7143747438 |
| NPI Enumeration Date: | 06/14/2012 |
| NPI Last Update Date: | 06/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A4153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |