institution
San Lucas Medical Clinic, Inc.
General Practice Physician in Los Angeles, California
NPI 1114231354

San Lucas Medical Clinic, Inc. is a General Practice Physician based in Los Angeles, CA. San Lucas Medical Clinic, Inc. practices in Los Angeles, CA. The NPI Number for San Lucas Medical Clinic, Inc. is 1114231354 and holds a License No. A37463 (California).

The current practice location address for San Lucas Medical Clinic, Inc. is 2010 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-989-1535 and via fax at 213-989-1843.

Location: 2010 Wilshire Blvd, Los Angeles, CA, 90057-3507
institution
Provider Profile Details
NPI Number
1114231354
Provider Name
San Lucas Medical Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
2010 Wilshire Blvd, Los Angeles, CA, 90057-3507
Phone Number
213-989-1535
Fax Number
213-989-1843
Provider Enumeration Date
07/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ED251A 01 CA MEDICARE PTAN
1396874202 05 CA
institution
Provider Business Practice Location Address Details
Address
2010 Wilshire Blvd
City
State
Zip
90057-3507
Phone Number
213-989-1535
Fax Number
213-989-1843
person
Provider Business Mailing Address Details
Address
2010 Wilshire Blvd
City
State
Zip
90057-3507
Phone Number
213-989-1535
Fax Number
213-989-1843
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A37463 (California)
Definition
Definition to come...
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