SOCAL HEALTHNET INC NPI 1487832655

NPI Information

NPI: 1487832655
Provider Name: SOCAL HEALTHNET INC

Doing Business As: ST. LUKE MEDICAL CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5912 SANTA MONICA BLVD
LOS ANGELES, CA
ZIP 90038
Phone: (323) 461-3888
Get Directions

SOCAL HEALTHNET INC is a multi-specialty clinic center in Los Angeles, CA. SOCAL HEALTHNET INC NPI is 1487832655. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Luke Medical Clinic.

The provider's business location address is:

5912 SANTA MONICA BLVD
LOS ANGELES, CA
ZIP 90038-043
Phone: (323) 461-3888
Fax: (323) 461-3250

The provider's authorized official is Nabil F Khalil .
The authorized official title is Medical Director and has the following contact phone number (323) 461-3888.

The CLIA number assigned to this NPI record is 05D1069575 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2008 and was last updated on 3/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	GR008540	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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