Revana Lukman (NPI# 1104176668, PAC ID# 8729395751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1104176668 |
| PAC ID by PECOS | 8729395751 |
| Professional Enrollment ID | I20180821003140 |
| Full Name | Revana Lukman |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF |
| Address |
1801 Wilshire Blvd Santa Monica CA 90403-5609 |
| Phone Number | 3103195098 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4587857727 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 | 3103195098 | REGENTS OF THE UNIVERSITY OF |
| 4201 Torrance Blvd, Suite 660, Torrance, CA 90503-4522 | 3103164373 | REGENTS OF THE UNIVERSITY OF |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF |
| Physicians | 220 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eve Wettstein | Clinical Social Worker | Regents of The University Of | 11303 W Washington Blvd, Suite 100, Los Angeles, CA 90066-6003 |
| Michael G Ho | Neurology | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Scott E Rudkin | Emergency Medicine | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Sara Rondinone Shive | Certified Registered Nurse Anesthetist (crna) | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Brandee M Baker | Certified Registered Nurse Anesthetist (crna) | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Brian Y Kim | Family Medicine | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Shannon L Toohey | Emergency Medicine | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Katherine Leila Sarkarati | Clinical Social Worker | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Staci Becker | Anesthesiology | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Robert S Doomun | Family Medicine | Regents of The University Of | 101 The City Dr S, Orange, CA 92868-3201 |
| Street Address |
1801 WILSHIRE BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip | 90403-5609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Ho | Neurology | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Katherine Leila Sarkarati | Clinical Social Worker | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Dolly B Roy | Neurology | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Autumn Schafer | Obstetrics/gynecology | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Lisa Little | Obstetrics/gynecology | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Janice Erica Chang | Otolaryngology | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Anna L Houterman | General Surgery | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Colleen M Mccord | Clinical Social Worker | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Kelly D Williams | Obstetrics/gynecology | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Dustin Z Deyoung | Family Medicine | Regents of The University Of | 1801 Wilshire Blvd, Santa Monica, CA 90403-5609 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Curtis Dickey | Optometry | 901 Montana Ave, Santa Monica, CA 90403-1537 | |
| Phillip Herel | Physical Therapy | 1301 Montana Ave, Suite A, Santa Monica, CA 90403-1767 | |
| Patrick D Edgecomb | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Christopher Scott Dahl | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Nicola N Nakase | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Rashmi Bandekar | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Marc A Hara | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Minchul Jung | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Jennifer M Esquer | Physical Therapy | Vert Westside LLC | 3011 Wilshire Blvd, Santa Monica, CA 90403-2301 |
| Bijan Cohenmehr | Optometry | 3116 Wilshire Blvd, Santa Monica, CA 90403-2304 | |
| Find all physicians in zip 90403 | |||
| City | SANTA MONICA |
| Zip Code | 90403 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SANTA MONICA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Revana Lukman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.