institution
San Lucas Medical Clinic, Inc
General Practice Physician in Norwalk, California
NPI 1295156982

San Lucas Medical Clinic, Inc is a General Practice Physician based in Norwalk, CA. San Lucas Medical Clinic, Inc practices in Norwalk, CA. The NPI Number for San Lucas Medical Clinic, Inc is 1295156982 and holds a License No. A37463 (California).

The current practice location address for San Lucas Medical Clinic, Inc is 13939 San Antonio Dr, Norwalk, CA and can be reached out via phone at 213-989-1535 and via fax at 888-882-7876.

Location: 13939 San Antonio Dr, Norwalk, CA, 90650-4036
institution
Provider Profile Details
NPI Number
1295156982
Provider Name
San Lucas Medical Clinic, Inc
Credential
Provider Entity Type
Organization
Address
13939 San Antonio Dr, Norwalk, CA, 90650-4036
Phone Number
213-989-1535
Fax Number
888-882-7876
Provider Enumeration Date
12/23/2013
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
13939 San Antonio Dr
City
State
Zip
90650-4036
Phone Number
213-989-1535
Fax Number
888-882-7876
person
Provider Business Mailing Address Details
Address
13939 San Antonio Dr
City
State
Zip
90650-4036
Phone Number
213-989-1535
Fax Number
888-882-7876
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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