LUCKY DIAGNOSTIC,INC (NPI# 1700832847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700832847 |
| Entity Type | Organization |
| Organization Name | LUCKY DIAGNOSTIC,INC |
| Practice Address |
1600 N La Brea Ave Suite 107 Los Angeles CA 90028-6934 |
| Practice Telephone | 3238600988 |
| Practice Fax Number | 3238609088 |
| Mailing Telephone | 3238600988 |
| Mailing Fax Number | 3238609088 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS MARIYA SPANDARYAN (CEO) |
| Authorized Official Telephone | 3238600988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
Technologists, Technicians & Other Technical Service Providers | ||
| X | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1600 N LA BREA AVE SUITE 107 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90028-6934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| Taxonomy Code | 246XC2903X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Vascular Specialist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184924151 | Nationwide Diagnostics & Imaging Inc | Spec/Tech, Cardiovascular | 2007 Wilshire Blvd, Suite 903, Los Angeles, CA 90057-3506 | 2010-10-25 |
| 1982640868 | Naira Mkrtchyan | Spec/Tech, Cardiovascular | 8631 W 3rd St, 1110-e, Los Angeles, CA 90048-5901 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811037 | Tayler Suzanne Kopperud | Spec/Tech, Cardiovascular | 4959 Palo Verde St Ste 208c-4, Montclair, CA 91763-2360 | 2019-09-25 |
| 1821468505 | Sally Botrus | Spec/Tech, Cardiovascular | 41054 Rawling Ct, Indio, CA 92203-4024 | 2015-10-07 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1932512720 | Davier Davon Mayes | Spec/Tech, Cardiovascular | 2334 10th St, Unit 1, Berkeley, CA 94710-2355 | 2014-06-09 |
| 1841568748 | Hector Solis | Spec/Tech, Cardiovascular | 2302 E Ward Ter, Anaheim, CA 92806-3657 | 2011-12-06 |
| 1053693135 | Cypress Point Healthcare Solutions, Inc | Spec/Tech, Cardiovascular | Cypress Diagnostic Imaging, 3230 Waring Ct Ste I, Oceanside, CA 92056-4509 | 2011-09-14 |
| 1437330107 | William Charles Huerta | Spec/Tech, Cardiovascular | 23135 Market St, Santa Clarita, CA 91321-3611 | 2007-11-21 |
| 1184842429 | Donald Andrew Barkley | Spec/Tech, Cardiovascular | 3534 Santa Carlotta St, Glendale, CA 91214-1115 | 2007-04-23 |
| 1568547099 | John Rosental | Spec/Tech, Cardiovascular | 1040 Elm Ave Ste 303, Long Beach, CA 90813-3267 | 2006-10-25 |
| 1285731307 | Cardiovascular Perfusion Systems | Spec/Tech, Cardiovascular | 1330 Corte De Primavera, Thousand Oaks, CA 91360-7026 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90028 |
Please comment or provide details below to improve the information on LUCKY DIAGNOSTIC,INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.