MEDICARE: DR. JEFFREY DIERKER POLLARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YS0123X	Facial Plastic Surgery Physician	A76223	CA

General Provider Information

NPI Number	:	1053565465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY DIERKER POLLARD M.D.

Provider Business Mailing Address
First Line	:	1690 WOODSIDE RD
Second Line	:	STE 120
City	:	REDWOOD CITY
State	:	CA
Zip	:	94061-3402
Country	:	US
Telephone Number	:	650-779-0036
Fax Number	:

Provider Business Practice Location Address
First Line	:	1690 WOODSIDE RD STE 120
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94061-3402
Country	:	US
Telephone Number	:	650-779-0036
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2008
Last Update Date	:	07/29/2025

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