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Organization
CLARA LUCKY POLAK MD, INC.
Active
Organization
CLARA LUCKY POLAK MD, INC.
Active
Other names
My Chula Vista Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
KATHYN MARIE MORA (ADMINISTRATOR ASSISTANT)
(619) 827-0572
Entity
Organization
Contact information
Practice address
22 W 35TH ST STE 101, NATIONAL CITY, CA 91950-7926
(619) 427-3361
Mailing address
22 W 35TH ST STE 101, NATIONAL CITY, CA 91950-7926
(619) 427-3361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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