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Organization
POLKA HEALTH INC
Active
Organization
POLKA HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HYUNG MIN LEE PHARMD (PRESIDENT)
(747) 287-9012
Entity
Organization
Contact information
Practice address
2810 WHITE RIDGE PLACE, 17, THOUSAND OAKS, CA 91362-9136
(747) 287-9012
Mailing address
PO BOX 1316, THOUSAND OAKS, CA 91358-0316
(747) 287-9012
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
NULL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
NULL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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