Clara Lucky Polak Md, Inc.

LBN: Clara Lucky Polak Md, Inc.
Clara Lucky Polak Md, Inc. is an health care organization with primary practice located at 480 4Th Ave 202, Chula Vista CA 91910-4410. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Clara Lucky Polak Md, Inc. can be contacted via phone (619) 427-3361, or through Peterson, Scott via phone (858) 625-2990.

Contact Information

Primary practice address
480 4Th Ave 202 Chula Vista CA 91910-4410
Phone: (619) 427-3361
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Scott
Phone: (858) 625-2990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X A66649 California

Profile Details

NPI number 1356586465
LBN Legal business name Clara Lucky Polak Md, Inc.
DBA Doing business as
Authorized official Peterson, Scott
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 4th, 2008
Last updated Jan 13th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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