Doctor Name: | KATHLEEN MARY POLLOCK |
NPI Number: | 1073519559 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A68341 |
Business Practice Address: | 26800 Crown Valley Pkwy Suite 525 Mission Viejo, CA - 926916384 |
Business Phone Number: | 9493641040 |
Business Fax Number: | |
Mailing Address: | 26800 Crown Valley Pkwy, Suite 525 MISSION VIEJO |
State: | CA |
Postal Code: | 926916384 |
Phone Number: | 9493641040 |
Fax Number: | |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/21/2006 |
NPI Reactivation Date: | 05/31/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A68341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |