| San Lucas Medical Clinic, Inc | |
|
13939 San Antonio Dr Norwalk CA 90650-4036 | |
| (213) 989-1535 | |
| (888) 882-7876 |
| Full Name | San Lucas Medical Clinic, Inc |
|---|---|
| Speciality | General Practice |
| Location | 13939 San Antonio Dr, Norwalk, California |
| Authorized Official Name and Position | Vital Hinojosa (MEDICAL DIRECTOR & OWNER) |
| Authorized Official Contact | 2139891535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Lucas Medical Clinic, Inc 13939 San Antonio Dr Norwalk CA 90650-4036 Ph: (213) 989-1535 | San Lucas Medical Clinic, Inc 13939 San Antonio Dr Norwalk CA 90650-4036 Ph: (213) 989-1535 |
| NPI Number | 1295156982 |
|---|---|
| Provider Enumeration Date | 12/23/2013 |
| Last Update Date | 12/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295156982 | NPI | - | NPPES |
| ED251A | Other | CA | MEDICARE PTAN |
| 1396874202 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A37463 (California) | Primary |
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