Jennifer Gopeng
Medical Specialty
Professional ID
- NPI: 1184867806
- PECOS ID: 1052508793
- Enrollment ID: I20101208000029
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1999
Hospital Service
- Hospital CCN1: 050077
- Business Name (LBN)1: Scripps Mercy Hospital
Medical Practices
- Organization Name: Clara Lucy Polak Md Inc
- Group Practice ID assigned by PECOS: 0345347191
- Number of Group Practice member: 9
Location
- Address1: 480 4th Ave
- Address2: Suite 202
- City: Chula Vista
- State: California
- Zip Code: 91910
- Phone Number: (619)427-3361
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):