Provider Demographics
NPI:1528301322
Name:POQUIZ, PATRICK HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:HENRY
Last Name:POQUIZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1250 16TH ST
Mailing Address - Street 2:SUITE 2304 CENTRAL WING
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1249
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1250 16TH ST
Practice Address - Street 2:SUITE 2304 CENTRAL WING
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1249
Practice Address - Country:US
Practice Address - Phone:310-319-4698
Practice Address - Fax:310-206-3260
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-29
Last Update Date:2017-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA133708208M00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist