ST. LUKE MEDICAL CLINIC – NPI #1487832655
Clinic/Center

ST. LUKE MEDICAL CLINIC is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1487832655 to ST. LUKE MEDICAL CLINIC on February 09, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST. LUKE MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is SOCAL HEALTHNET INC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 16 years ago on Mar 22, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. LUKE MEDICAL CLINIC below.

NPI Profile for
SOCAL HEALTHNET INC

NPI Number
1487832655
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOCAL HEALTHNET INC
Doing Business As (dba): ST. LUKE MEDICAL CLINIC
Primary location
5912 SANTA MONICA BLVD
LOS ANGELES, CA 90038-2043
Phone: (323) 461-3888 Fax: (323) 461-3250
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NABIL KHALIL
MEDICAL DIRECTOR
Phone: (323) 461-3888
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)		 CA GR008540

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.