Polak, Clara Lucy

Polak, Clara Lucy is an individual health care provider with primary practice located at 480 4Th Ave Suite 202, Chula Vista CA 91910-4410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Polak, Clara Lucy can be contacted via phone (619) 427-3361.

Contact Information

Primary practice address
480 4Th Ave Suite 202 Chula Vista CA 91910-4410
Phone: (619) 427-3361
Fax: (619) 427-6821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A66649 California

Profile Details

NPI number 1790749208
LBN Legal business name Polak, Clara Lucy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Aug 31st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790749208 NPPES
California MEDICAID GR0083510

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