Erich Walter Pollak, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A24059 Issued in CA

Practice address

1038 S Glendora Ave
Suite # 2
West Covina, CA 91790-4966

Phone

(626) 814-2766

Fax

(626) 917-3009

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629093356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 S GLENDORA AVE",
            "address_2": "SUITE # 2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904966",
            "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 S GLENDORA AVE",
            "address_2": "SUITE # 2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904966",
            "telephone_number": "626-814-2766",
            "fax_number": "626-917-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "ERICH",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A24059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01930 PPO 00A2459020",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A24059",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Platinum Touch of Care
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• PNK Pharmacy, Inc.
• Jessica Polanco
• Adriana Ethel Pollak Lazzaro, DO
• Elise B. Pomerance, M.D.
• Angelina Ponce
• Keith Ponce, PT, DPT
• Lisa Ponce, BCBA
• Asia Shantae Renee Porter

• Surgery Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.