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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