Organization
JAN S LUKAC MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN S LUKAC MD (OWNER)
(714) 529-9563
Entity
Organization
Contact information
Practice address
380 W CENTRAL AVE, STE 300, BREA, CA 92821-3014
(714) 529-9563
(714) 529-8476
Mailing address
380 W CENTRAL AVE, STE 300, BREA, CA 92821-3014
(714) 529-9563
(714) 529-8476
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A32888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A328880
—
CA
01
—
180001142
RAILROAD MEDICARE
CA
Enumeration date
09/30/2005
Last updated
01/02/2019
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