Organization
SOCAL HEALTHNET INC
Active
Organization
SOCAL HEALTHNET INC
Active
Other names
St. Luke Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL F KHALIL M.D. (MEDICAL DIRECTOR)
(323) 461-3888
Entity
Organization
Contact information
Practice address
5912 SANTA MONICA BLVD, LOS ANGELES, CA 90038-2043
(323) 461-3888
(323) 461-3250
Mailing address
5912 SANTA MONICA BLVD, LOS ANGELES, CA 90038-2043
(323) 461-3888
(323) 461-3250
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
GR008540
CA
Other
Enumeration date
02/09/2008
Last updated
03/22/2010
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