| St. Luke Medical Center Inc. | |
|
3705 Gage Ave Ste A Bell CA 90201-1024 | |
| (310) 720-2507 | |
| (310) 219-0497 |
| Full Name | St. Luke Medical Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3705 Gage Ave Ste A, Bell, California |
| Authorized Official Name and Position | Daisy Vargas (MANAGER) |
| Authorized Official Contact | 3107202507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke Medical Center Inc. 3705 Gage Ave Ste A Bell CA 90201-1024 Ph: (310) 720-2507 | St. Luke Medical Center Inc. 3705 Gage Ave Ste A Bell CA 90201-1024 Ph: (310) 720-2507 |
| NPI Number | 1558613059 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558613059 | NPI | - | NPPES |
| A34603 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A34603 (California) | Primary |
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