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NPI Code Detail

MEDICARE: SAINT LUKE MEDICAL CENTER INC

MEDICARE: SAINT LUKE MEDICAL CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2208000000XPediatrics Physician

General Provider Information

NPI Number : 1194877506
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT LUKE MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 17022 CRENSHAW BLVD
Second Line :
City : TORRANCE
State : CA
Zip : 90504-2718
Country : US
Telephone Number : 310-508-5560
Fax Number :
Provider Business Practice Location Address
First Line : 7305 PACIFIC BLVD
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-5736
Country : US
Telephone Number : 323-586-2156
Fax Number : 323-277-1091
Authorized Official
Title or Position : PRESIDENT
Name : DR. ADEL GHATTAS
Credential : M.D.
Telephone Number : 323-586-2156
Provider Enumeration Date : 01/17/2007
Last Update Date : 09/11/2025

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Directions to “SAINT LUKE MEDICAL CENTER INC ” Practice Location

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