Individual
DR. GERALD M. POHOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 WILSON TERRACE, SUITE 150, GLENDALE, CA 61206-4007
(818) 409-3501
(818) 956-7680
Mailing address
2200 NORTH MAYFAIR ROAD, SUITE 200, WAUWATOSA, WI 53226-2252
(414) 258-9511
(414) 607-3946
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G86422
CA
207U00000X
Nuclear Medicine Physician
G84622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871534636
BLUE CROSS
CA
01
—
P01016324
RR MEDICARE
CA
01
—
ZZZ68624Y
BLUE SHIELD
CA
Enumeration date
06/10/2006
Last updated
05/24/2012
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