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

Jerrold Polterock, MD

Individual provider Otolaryngology Physician · NPI 1578536306

Jerrold Polterock, MD is an Otolaryngology Physician in Oakdale, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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 · Licence G16347 (CA)

Record details

NPI number1578536306
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESJune 23, 2011
Mailing address250 S Oak Ave, Suite 4, Oakdale, CA 95361-3572

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