# ST. LUKE MEDICAL CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558613059
- **Authorized official:** DAISY VARGAS (MANAGER)
- **Authorized official phone:** (310) 720-2507

## Contact information

- **Practice address:** 3705 GAGE AVE STE A, BELL, CA 90201-1024
- **Practice address phone:** (310) 720-2507
- **Practice address fax:** (310) 219-0497
- **Mailing address:** 3705 GAGE AVE STE A, BELL, CA 90201-1024
- **Mailing address phone:** (310) 720-2507
- **Mailing address fax:** (310) 219-0497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A34603 | CA | Yes |

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 10/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | A34603 | — | CA |