Individual
JONATHAN Y. LUKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 N LAKEVIEW AVE, ANAHEIM, CA 92807-3028
(888) 988-2800
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(000) 000-0000
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
G38004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G380040
—
CA
Enumeration date
11/13/2006
Last updated
11/29/2007
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