Provider Demographics
NPI:1013958792
Name:POLLOCK, ALLAN S (MD)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:S
Last Name:POLLOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:587 N VENTU PARK RD
Mailing Address - Street 2:E802
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-2723
Mailing Address - Country:US
Mailing Address - Phone:415-552-2366
Mailing Address - Fax:415-839-3566
Practice Address - Street 1:587 N VENTU PARK RD
Practice Address - Street 2:E802
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-2723
Practice Address - Country:US
Practice Address - Phone:415-552-2366
Practice Address - Fax:415-839-3566
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG038879207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology