Adriana Ethel Pollak Lazzaro, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6095 Issued in CA

Practice address

1038 South Glendora Ave Suite 2
West Covina, CA 91790

Phone

(626) 814-2766

Fax

(626) 917-3009

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Adrana Ethel Pollak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306923974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 SOUTH GLENDORA AVE SUITE 2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-814-2766",
            "fax_number": "626-917-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 SOUTH GLENDORA AVE SUITE 2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-814-2766",
            "fax_number": "626-917-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK LAZZARO",
        "first_name": "ADRIANA",
        "middle_name": "ETHEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX60950",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "020A60950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRANA",
            "last_name": "POLLAK",
            "middle_name": "ETHEL",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alethia Chorus Placencia-Fakhoury
• Platinum Touch of Care
• Plot Twist Family Therapy Group, Inc
• PNK Pharmacy, Inc.
• Jessica Polanco
• Erich Walter Pollak, M.D.
• Elise B. Pomerance, M.D.
• Angelina Ponce
• Keith Ponce, PT, DPT
• Lisa Ponce, BCBA

• Family Medicine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.