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Individual

DR. ERICH WALTER POLLAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1038 S GLENDORA AVE, SUITE # 2, WEST COVINA, CA 91790-4966
(626) 814-2766
(626) 917-3009
Mailing address
1038 S GLENDORA AVE, SUITE # 2, WEST COVINA, CA 91790-4966
(626) 814-2766
(626) 917-3009

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A24059
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A24059
CA
01
01930 PPO 00A2459020
BLUE CROSS
CA
Enumeration date
07/13/2006
Last updated
07/09/2007
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