Dr Dominique Lanelle Luckey, MD | |
1701 E Cesar Chavez Ave, Suite #402, Los Angeles, CA 90033-2464 | |
(323) 317-9200 | |
(323) 317-9206 |
Full Name | Dr Dominique Lanelle Luckey |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 26 Years |
Location | 1701 E Cesar Chavez Ave, Los Angeles, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326033804 | NPI | - | NPPES |
00A698740 | Other | CA | BLUE SHIELD |
00A698740 | Medicaid | CA | |
P00384423 | Other | GA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | A69874 (California) | Primary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | A69874 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
White Memorial Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
White Memorial Gynecological And Obstetrical Medical Group | 2062560907 | 9 |
Entity Name | White Memorial Gynecological And Obstetrical Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811060262 PECOS PAC ID: 2062560907 Enrollment ID: O20090501000330 |
Mailing Address | Practice Location Address |
---|---|
Dr Dominique Lanelle Luckey, MD 5823 York Blvd, #1, Los Angeles, CA 90042-2634 Ph: (323) 255-3437 | Dr Dominique Lanelle Luckey, MD 1701 E Cesar Chavez Ave, Suite #402, Los Angeles, CA 90033-2464 Ph: (323) 317-9200 |
Noa Carter Sterling, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1200 N State St, Inpt Tower C3f107, Los Angeles, CA 90033 Phone: 323-409-8847 | |
Dr. Sonya Fabricant, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2051 Marengo St, Los Angeles, CA 90033 Phone: 323-409-8848 | |
Ingrid Rodi, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, 202, Los Angeles, CA 90095 Phone: 310-794-7274 | |
Mary Gatter, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 W 30th St, Los Angeles, CA 90007 Phone: 213-284-3211 | |
Dr. James Allan Mcgregor, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1240 N Mission Rd, Room 5k40, Los Angeles, CA 90033 Phone: 323-221-3270 Fax: 323-226-2710 | |
Dr. Crystal Lynn Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2020 Zonal Avenue, Ird 220, Los Angeles, CA 90033 Phone: 323-226-3423 Fax: 323-226-3509 | |
Dr. Vladimir Nossov, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Department Of Ob/gyn Ucla Medical Center, 10833 Leconte Avenue, Los Angeles, CA 90095 Phone: 310-206-6766 |