Andrew Edward Luckey Iii, M.D., Inc.

LBN: Andrew Edward Luckey Iii, M.D., Inc.
Andrew Edward Luckey Iii, M.D., Inc. is an health care organization with primary practice located at 2650 Jones Way Suite 2, Simi Valley CA 93065-1203. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Andrew Edward Luckey Iii, M.D., Inc. can be contacted via phone (805) 577-7977, or through Luckey, Andrew Edward via phone (805) 577-7977.

Contact Information

Primary practice address
2650 Jones Way Suite 2 Simi Valley CA 93065-1203
Phone: (805) 577-7977
Fax: (805) 577-0745
Website:
Map and Directions
Authorized official contact:
Name: Luckey, Andrew Edward Doctor of Medicine (MD)
Phone: (805) 577-7977

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A69654 California

Profile Details

NPI number 1598062655
LBN Legal business name Andrew Edward Luckey Iii, M.D., Inc.
DBA Doing business as
Authorized official Luckey, Andrew Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2011
Last updated Feb 24th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598062655 NPPES
California Other A69654 STATE MEDICAL LICENSE

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