Tara Polley

NPI 1386398923 · on the registry since 2022 · sole proprietor

Practice

Address: 275 Victoria St
Costa Mesa, CA 92627
Phone: (949) 629-2860
Organisation at this address: Innovative Rx Inc
Western Pacific Re-Hab
Paul S Stately D C Inc
Nazli Ahmed, M.D., Inc.
Na Young Kim, D.D.S., Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California