# JAN S LUKAC MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619964038
- **Authorized official:** DR. JAN S LUKAC MD (OWNER)
- **Authorized official phone:** (714) 529-9563

## Contact information

- **Practice address:** 380 W CENTRAL AVE, STE 300, BREA, CA 92821-3014
- **Practice address phone:** (714) 529-9563
- **Practice address fax:** (714) 529-8476
- **Mailing address:** 380 W CENTRAL AVE, STE 300, BREA, CA 92821-3014
- **Mailing address phone:** (714) 529-9563
- **Mailing address fax:** (714) 529-8476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A32888 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 01/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A328880 | — | CA |
| 01 | — | 180001142 | RAILROAD MEDICARE | CA |