San Lucas Medical Clinic, Inc.
NPI #1114231354 in Los Angeles, California
Provider Information
- NPI Number
- 1114231354
- Entity Type
- Organization
- Organization Name
- San Lucas Medical Clinic, Inc.
- Primary Specialty
- General Practice
- Enumeration Date
- Jul 29, 2010
- Last Updated
- May 31, 2013
Practice Location
- Address
- 2010 WILSHIRE BLVD
- Address 2
- SUITE 2012
- City
- Los Angeles
- State
- California
- ZIP Code
- 90057-3507
- Phone
- (213) 989-1535
Authorized Official
- Name
- DR. VITAL HINOJOSA, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (310) 521-9725
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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