| Luke Family Medical Group Inc. | |
|
904 E Pacific Coast Hwy Long Beach CA 90806-5626 | |
| (562) 591-2785 | |
| Not Available |
| Full Name | Luke Family Medical Group Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 904 E Pacific Coast Hwy, Long Beach, California |
| Authorized Official Name and Position | Michael Shawn Johnson (PRESIDENT/MANAGER) |
| Authorized Official Contact | 3107483496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Family Medical Group Inc. 904 E Pacific Coast Hwy Long Beach CA 90806-5626 Ph: (562) 591-2785 | Luke Family Medical Group Inc. 904 E Pacific Coast Hwy Long Beach CA 90806-5626 Ph: (562) 591-2785 |
| NPI Number | 1477898245 |
|---|---|
| Provider Enumeration Date | 12/05/2012 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477898245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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