Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Andrew Edward Luckey III, MD, Inc

Organization Surgery Physician · NPI 1598062655

Andrew Edward Luckey III, MD, Inc provides Surgery Physician services in Simi Valley, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2650 Jones Way Ste 2
Simi Valley, CA 93065-1203 Not confirmed with CMS for 15 years — call before visiting
Phone: (805) 577-7977
Fax: (805) 577-0745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A69654 (CA)

Record details

NPI number1598062655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Luckey — Owner · (805) 577-7977
NPI enumeratedFebruary 24, 2011
Last updated in NPPESFebruary 24, 2011
Mailing address1301 N Fairfax Ave, West Hollywood, CA 90046-4712

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