Provider Demographics
NPI:1013444835
Name:POLLARD WELLNESS INC
Entity Type:Organization
Organization Name:POLLARD WELLNESS INC
Other - Org Name:POLLAR WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-871-7726
Mailing Address - Street 1:700 W PARR AVE STE I
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1416
Mailing Address - Country:US
Mailing Address - Phone:408-871-7726
Mailing Address - Fax:408-370-3790
Practice Address - Street 1:700 W PARR AVE STE I
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1416
Practice Address - Country:US
Practice Address - Phone:408-871-7726
Practice Address - Fax:408-370-3790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65598207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty