Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Edward Luckey III, MD, Inc

Organization Surgery Physician · NPI 1598062655

Andrew Edward Luckey III, MD, Inc is a Surgery Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

2650 Jones Way Ste 2
Simi Valley, CA 93065-1203
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

Other providers in Simi Valley