Polka Health Inc

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

POLKA HEALTH INC

Practice address

2810 White Ridge Place
17
Thousand Oaks, CA 91362-9136

Phone

(747) 287-9012

NPI assigned

Jan 17, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hyung Min Lee, PHARMDNPI 1184196487

Title

President

Phone

(747) 287-9012

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyung Min Lee, PHARMD

  • Pharmacist
  • Newbury Park, CA
  • NPI 1184196487
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1194476598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1316",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913580316",
            "telephone_number": "747-287-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 WHITE RIDGE PLACE",
            "address_2": "17",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913629136",
            "telephone_number": "747-287-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLKA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUNG MIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "747-287-9012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Poe
• Ruth L Polan, MD
• Lauren Poliakin, MD
• Raymond Israel Poliakin, MD
• Nicole Nichelle Polizzi
• Barry Howard Pollack, M.D.
• Robyn Pool, LM
• Shirley Poon
• Pooya Mobasseri Inc
• Karen Popp, N.P.

• Public Health & General Preventive Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.