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Samuel Polanco

NPI 1851242713 · on the registry since 2026

Practice

Address
2611 E Matoian Way Uh134
Fresno, CA 55927
Phone
(559) 278-1117
Fax
(559) 278-0447

Registry record

Primary taxonomy
171400000X
171400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-02-06

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