Elizabeth Susana Pollak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36190 Issued in CA

Practice address

5175 E Pacific Coast Hwy
#203
Long Beach, CA 90804-3317

Phone

(562) 597-7417

NPI assigned

Sep 11, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487758561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 DOGWOOD AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402848",
            "telephone_number": "562-598-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E PACIFIC COAST HWY",
            "address_2": "#203",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043317",
            "telephone_number": "562-597-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "ELIZABETH",
        "middle_name": "SUSANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Polanco
• Yaroslav Polehonkyi, MD
• Kimberly Polinder
• Benjamin Saravuth Polk
• Howard Morton Polk III, DMD
• Christine D Pollard, PHD,PT
• Susan Ann Pollard, LCSW
• Sara Pollaro, LCSW
• Christopher Pollay
• Venita Polonio

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry 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.