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General NPI Number Information
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NPI Number | 1194877506
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Entity Type | Organization
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Legal Business Name | SAINT LUKE MEDICAL CENTER INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7305 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5736
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Country | US
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Telephone | 323-586-2156
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Fax | 323-277-1091
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Provider Business Mailing Address
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Address Line | 17022 CRENSHAW BLVD
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City | TORRANCE
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State | CA
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Zip | 90504-2718
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Country | US
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Telephone | 310-508-5560
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADEL GHATTAS
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Credential | M.D.
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Telephone | 323-586-2156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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