| Doctor Name: | POLICARPOI F ENRIQUEZ |
| NPI Number: | 1205945029 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A31559 |
| Business Practice Address: | 1711 W Temple St Suite 3280 Los Angeles, CA - 90026 |
| Business Phone Number: | 9098698461 |
| Business Fax Number: | |
| Mailing Address: | 19365 E Pacific Oak Place, ROWLAND HEIGHTS |
| State: | CA |
| Postal Code: | 91748 |
| Phone Number: | 9098698461 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 11/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A31559 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |