Individual
DR. CHARLES POLLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 WILSHIRE BLVD, STE 703, LOS ANGELES, CA 90017-4807
(213) 977-7422
(213) 250-8945
Mailing address
1245 WILSHIRE BLVD, STE 703, LOS ANGELES, CA 90017-4807
(213) 977-7422
(213) 250-8945
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A51040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A510400
—
CA
01
—
060039884
MEDICARE RAILROAD
CA
Enumeration date
09/07/2005
Last updated
04/17/2014
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