Individual provider · Type 1 NPI
Daniell Bennett Pollack, PA-C
Medical Physician Assistant · San Diego, CA
NPI number
1376797795
Active
Practice location
4065 3rd Avenue, Suite 102
San Diego, CA 92103-2184
Fax (619) 542-0559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA20005 (CA) |
| Medical Physician Assistant Primary | 363AM0700X | PA2005 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1376797795
Daniell Bennett Pollack, PA-C's National Provider Identifier is 1376797795, issued on Nov 12, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 7, 2010.