Healthcare Provider Details

I. General information

NPI: 1528530383
Provider Name (Legal Business Name): POLLARD TRANSITIONAL CARE PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 02/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8687 W SAHARA AVE STE 200
LAS VEGAS NV
89117-5869
US

IV. Provider business mailing address

2110 ARTESIA BLVD STE 712
REDONDO BEACH CA
90278-3073
US

V. Phone/Fax

Practice location:
  • Phone: 702-367-7500
  • Fax: 702-367-7502
Mailing address:
  • Phone: 888-324-6360
  • Fax: 310-651-9631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY POLLARD
Title or Position: PRACTICE OWNER
Credential: DO
Phone: 702-374-7013