DR. ROBERT B POLLACK M.D. NPI 1487653523

NPI Information

NPI: 1487653523
Provider Name: DR. ROBERT B POLLACK, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
4510 EXECUTIVE DR.
SUITE 105
SAN DIEGO, CA
ZIP 92121
Phone: (858) 457-8686
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DR. Robert B Pollack, M.D. is a plastic and reconstructive surgery surgery in San Diego, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Robert B Pollack, M.D. NPI is 1487653523. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4510 EXECUTIVE DR.
SUITE 105
SAN DIEGO, CA
ZIP 92121-022
Phone: (858) 457-8686
Fax: (858) 450-7690

The enumeration date for this NPI number is 7/20/2005 and was last updated on 10/1/2010.

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	2086S0122X	Surgery	Plastic and Reconstructive Surgery	G067551	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
1	00G675510	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	00G675510	MEDICAID	CALIFORNIA
3	F11845	MEDICARE UPIN	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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