Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mario Polanco, BS, DEGREE

Individual provider Specialist · NPI 1073640587

Mr. Mario Polanco, BS, DEGREE is a Specialist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

5301 Whittier Blvd Atrium Ste
Los Angeles, CA 90022-4038 Not confirmed with CMS for 14 years — call before visiting
Phone: (323) 887-7458
Fax: (323) 887-8288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11680 (CA)
Specialist Taxonomy 174400000X · Licence PT 11680 (CA)

Record details

NPI number1073640587
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , DEGREE
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESDecember 22, 2011

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients27
Services billed 182 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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