Pollak, Erich Walter

Pollak, Erich Walter is an sole proprietor health care provider with primary practice located at 1038 S Glendora Ave Suite # 2, West Covina CA 91790-4966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pollak, Erich Walter can be contacted via phone (626) 814-2766.

Contact Information

Primary practice address
1038 S Glendora Ave Suite # 2 West Covina CA 91790-4966
Phone: (626) 814-2766
Fax: (626) 917-3009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A24059 California

Profile Details

NPI number 1629093356
LBN Legal business name Pollak, Erich Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jul 9th, 2007 - about 18 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 1629093356 NPPES
California Other 01930 PPO 00A2459020 BLUE CROSS
California MEDICAID 00A24059 BLUE CROSS

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