Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 135518 | CA |
N | 207YS0123X | Facial Plastic Surgeon | 275033 | NY |
N | 207YS0123X | Facial Plastic Surgeon | 43416 | AZ |
NPI | 1366676942 |
---|---|
Provider Name | Dr. Taylor R Pollei |
First Address | Mission Viejo, CA 92691-6501 |
Second Address | Mission Viejo, CA 92691-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2009 |
Last Update Date | 09/09/2019 |