Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Clinica Familiar San Lucas

Organization Surgery Physician · NPI 1043462443

Clinica Familiar San Lucas provides Surgery Physician services in Lynwood, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

11050 S Atlantic Ave
Lynwood, CA 90262-3068
Phone: (310) 635-3800
Fax: (310) 635-0364
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A36908 (CA)

Record details

NPI number1043462443
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basil Felahy — President · (310) 635-3800
NPI enumeratedOctober 16, 2008
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021
Mailing address221 E Glenoaks Blvd, Suite 130, Glendale, CA 91207-2085

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