Individual
DR. ANDREW LUCKEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 JONES WAY, SUITE 2, SIMI VALLEY, CA 93065-1203
(805) 577-7977
(805) 577-0745
Mailing address
1189 SWALLOW LN, STE 201, SIMI VALLEY, CA 93065-3157
(805) 577-7977
(805) 577-0745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A69654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A69654
STATE LICENSE
CA
Enumeration date
01/22/2007
Last updated
04/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us