| Clara Lucky Polak Md, Inc. | |
|
22 W 35th St Ste 101 National City CA 91950-7926 | |
| (619) 427-3361 | |
| Not Available |
| Full Name | Clara Lucky Polak Md, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 22 W 35th St Ste 101, National City, California |
| Authorized Official Name and Position | Kathyn Marie Mora (ADMINISTRATOR ASSISTANT) |
| Authorized Official Contact | 6198270572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Lucky Polak Md, Inc. 22 W 35th St Ste 101 National City CA 91950-7926 Ph: (619) 427-3361 | Clara Lucky Polak Md, Inc. 22 W 35th St Ste 101 National City CA 91950-7926 Ph: (619) 427-3361 |
| NPI Number | 1467258772 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467258772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Marianito D Sevilla Md Inc Apc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2340 E 8th St, Suite D, National City, CA 91950 Phone: 619-470-7007 Fax: 619-470-9379 | |
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