Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oak Valley Otolaryngology Inc

Organization Otolaryngology Physician · NPI 1659667285

Oak Valley Otolaryngology Inc is an Otolaryngology Physician in Oakdale, California. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 S Oak Ave Ste 4
Oakdale, CA 95361-3572
Phone: (209) 845-0100
Fax: (209) 845-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1659667285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerrold Polterock — Md/President · (209) 845-0100
NPI enumeratedJune 22, 2011
Last updated in NPPESAugust 8, 2011
Mailing address250 S Oak Ave, Suite 4, Oakdale, CA 95361-3572

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