Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinica Familiar San Lucas

Organization Surgery Physician · NPI 1043462443

Clinica Familiar San Lucas is a Surgery Physician 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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