Organization
CLARA LUCY POLAK, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY MARIE MORA (ADMINISTRATOR ASSISTANT)
(619) 427-3361
Entity
Organization
Contact information
Practice address
22 W 35TH ST STE 101, NATIONAL CITY, CA 91950-7926
(619) 427-3361
(619) 427-6821
Mailing address
480 4TH AVE, 202, CHULA VISTA, CA 91910-4410
(619) 427-3361
(619) 427-6821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
05/17/2024
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