# POLKA HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194476598
- **Authorized official:** DR. HYUNG MIN LEE PHARMD (PRESIDENT)
- **Authorized official phone:** (747) 287-9012

## Contact information

- **Practice address:** 2810 WHITE RIDGE PLACE, 17, THOUSAND OAKS, CA 91362-9136
- **Practice address phone:** (747) 287-9012
- **Mailing address:** PO BOX 1316, THOUSAND OAKS, CA 91358-0316
- **Mailing address phone:** (747) 287-9012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2022
- **Last updated:** 01/17/2022