MRS. DANIELL BENNETT POLLACK PA-C NPI 1376797795

NPI Information

NPI: 1376797795
Provider Name: MRS. DANIELL BENNETT POLLACK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4065 3RD AVENUE
SUITE 102
SAN DIEGO, CA
ZIP 92103
Phone: (619) 542-0013
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MRS. Daniell Bennett Pollack, PA-C is a medical physician assistant in San Diego, CA. MRS. Daniell Bennett Pollack, PA-C NPI is 1376797795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4065 3RD AVENUE
SUITE 102
SAN DIEGO, CA
ZIP 92103-184
Phone: (619) 542-0013
Fax: (619) 542-0559

The NPI 1376797795 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/12/2008 and was last updated on 6/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA20005	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	PA2005	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CL606Y	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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