Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY17356 | CA |
Y | 103T00000X | Psychologist | PSY17356 | CA |
NPI | 1003138298 |
---|---|
Provider Name | Dr. Adam Evan Pollock |
First Address | Santa Ana, CA 92704-7909 |
Second Address | Santa Ana, CA 92704-7909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2010 |
Last Update Date | 30/11/2021 |