REVANA LUKMAN M.D. – NPI #1104176668
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

REVANA LUKMAN is a physician located in TORRANCE, CA. NPPES has assigned the NPI number 1104176668 to REVANA LUKMAN on September 12, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 7 years ago on Aug 07, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVANA LUKMAN below.

NPI Profile for
REVANA LUKMAN

NPI Number
1104176668
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
REVANA LUKMAN
Credentials
M.D.
Primary location
4201 TORRANCE BLVD STE 600
TORRANCE, CA 90503-4523
Phone: (310) 316-4373 Fax: (310) 316-1291
Mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone: (310) 301-8707 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
CA A129808

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
REVANA LUKMAN is affiliated with the following medical group(s):
  • HOSPITAL
    • PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
      4101 TORRANCE BLVD
      TORRANCE, CA 90503

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