Provider First Line Business Practice Location Address:
ST LUKE MEDICAL CLINIC
Provider Second Line Business Practice Location Address:
5912 SANTA MONICA BLVD
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-461-3888
Provider Business Practice Location Address Fax Number:
323-461-3250
Provider Enumeration Date:
04/22/2022