MEDICARE: LOUIS DAVID POLLACK 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	282NC2000X	Children's Hospital	MD00015956	WA
2	2080N0001X	Neonatal-Perinatal Medicine Physician	G150703	CA

General Provider Information

NPI Number	:	1518079953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIS DAVID POLLACK M.D.

Provider Business Mailing Address
First Line	:	1975 4TH ST FL 3
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2351
Country	:	US
Telephone Number	:	415-353-1565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1975 4TH ST FL 3
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2351
Country	:	US
Telephone Number	:	415-353-1565
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/28/2020

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