Healthcare Provider Details

I. General information

NPI: 1922184076
Provider Name (Legal Business Name): STELLA D POLLACK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MARKETVIEW
IRVINE CA
92602-1692
US

IV. Provider business mailing address

400 MARKETVIEW
IRVINE CA
92602-1692
US

V. Phone/Fax

Practice location:
  • Phone: 949-705-9058
  • Fax:
Mailing address:
  • Phone: 949-705-9058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA42623
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: