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NPI Code Detail

MEDICARE: MS. DEANNA MICHELLE POLLARD

MEDICARE: MS. DEANNA MICHELLE POLLARD
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1962717389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEANNA MICHELLE POLLARD
Provider Business Mailing Address
First Line : 225 N MARIPOSA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-4509
Country : US
Telephone Number : 213-389-5820
Fax Number :
Provider Business Practice Location Address
First Line : 225 N MARIPOSA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-4509
Country : US
Telephone Number : 213-389-5820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2010
Last Update Date : 08/10/2010

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Directions to “ MS. DEANNA MICHELLE POLLARD ” Practice Location

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