Organization
CLINICA FAMILIAR SAN LUCAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASIL FELAHY MD (PRESIDENT)
(310) 635-3800
Entity
Organization
Contact information
Practice address
11050 S ATLANTIC AVE, LYNWOOD, CA 90262-3068
(310) 635-3800
(310) 635-0364
Mailing address
221 E GLENOAKS BLVD, SUITE 130, GLENDALE, CA 91207-2085
(818) 549-1713
(818) 549-1716
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A36908
CA
Other
Enumeration date
10/16/2008
Last updated
03/16/2021
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