MEDICARE: DR. DAVID FREDERICK POLSTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	G27435	CA
2	207RP1001X	Pulmonary Disease Physician	G27435	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083683635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID FREDERICK POLSTER M.D.

Provider Business Mailing Address
First Line	:	4515 CALAVO DR
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91941-5701
Country	:	US
Telephone Number	:	619-940-5864
Fax Number	:	619-462-3363

Provider Business Practice Location Address
First Line	:	VOLUNTEERS IN MEDICINE SAN DIEGO
Second Line	:	1457 W MADISON AVE
City	:	EL CAJON
State	:	CA
Zip	:	92019-1002
Country	:	US
Telephone Number	:	619-440-4591
Fax Number	:	619-440-4944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	12/09/2022

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Directions to “ DR. DAVID FREDERICK POLSTER M.D.” Practice Location

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