Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | A147607 | CA |
Y | 207RH0003X | Hematology & Oncology | A147607 | CA |
NPI | 1154692549 |
---|---|
Provider Name | Yao Yao Guan Pollock |
First Address | Santa Rosa, CA 95403-1757 |
Second Address | Santa Rosa, CA 95403-1757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2012 |
Last Update Date | 09/11/2021 |