San Lucas Medical Clinic, Inc

LBN: San Lucas Medical Clinic, Inc
San Lucas Medical Clinic, Inc is an health care organization with primary practice located at 13939 San Antonio Dr , Norwalk CA 90650-4036. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. San Lucas Medical Clinic, Inc can be contacted via phone (213) 989-1535, or through Hinojosa, Vital via phone (213) 989-1535.

Contact Information

Primary practice address
13939 San Antonio Dr Norwalk CA 90650-4036
Fax: (888) 882-7876
Website:
Authorized official contact:
Name: Hinojosa, Vital Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A37463 California

Profile Details

NPI number 1295156982
LBN Legal business name San Lucas Medical Clinic, Inc
DBA Doing business as
Authorized official Hinojosa, Vital Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2013
Last updated Dec 23rd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295156982 NPPES
California Other ED251A MEDICARE PTAN
California MEDICAID 1396874202 MEDICARE PTAN

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