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Search › California › 1041C0700X

Michelle Gonzalez Polanco

NPI 1851878144 · on the registry since 2018 · sole proprietor

Practice

Address
1212 N California St
Stockton, CA 95202
Phone
(209) 468-8686
Fax
(209) 468-2380
Organisation at this address
Sasha Jackson, Llc
County Of San Joaquin
Larisa Kouperschmidt Md Llc
Bhs Children And Youth Serv
San Joaquin County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
844

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
172V00000X
390200000X
373H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-30

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