Organization
LUKE MACYSZYN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE MACYSZYN MD (OWNER)
(424) 835-3100
Entity
Organization
Contact information
Practice address
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292-6385
(424) 835-3100
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
03/13/2024
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