Organization
ST LUCIA EYE CENTER MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS F MONTOYA JR. MD (PRESIDENT)
(323) 583-4567
Entity
Organization
Contact information
Practice address
2746 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 583-4567
(323) 583-4560
Mailing address
2746 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 583-4567
(323) 583-4560
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092651
—
CA
Enumeration date
08/04/2006
Last updated
09/29/2008
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