Pollack, Robert B

Pollack, Robert B is an sole proprietor health care provider with primary practice located at 4510 Executive Dr. Suite 105, San Diego CA 92121-3022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Pollack, Robert B can be contacted via phone (858) 457-8686.

Contact Information

Primary practice address
4510 Executive Dr. Suite 105 San Diego CA 92121-3022
Fax: (858) 450-7690
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X G067551 California

Profile Details

NPI number 1487653523
LBN Legal business name Pollack, Robert B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2005
Last updated Oct 1st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487653523 NPPES
California MEDICAID 00G675510

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