# ST LUCIA EYE CENTER MEDICAL CORP

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

## Provider details

- **NPI number:** 1699783506
- **Authorized official:** MR. CARLOS F MONTOYA JR. MD (PRESIDENT)
- **Authorized official phone:** (323) 583-4567

## Contact information

- **Practice address:** 2746 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
- **Practice address phone:** (323) 583-4567
- **Practice address fax:** (323) 583-4560
- **Mailing address:** 2746 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
- **Mailing address phone:** (323) 583-4567
- **Mailing address fax:** (323) 583-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 09/29/2008