Healthcare Provider Details

I. General information

NPI: 1841826682
Provider Name (Legal Business Name): LUCAS FERREIRA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2020
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 E WASHINGTON BLVD
WHITTIER CA
90602-1006
US

IV. Provider business mailing address

4401 W MEMORIAL RD STE 121
OKLAHOMA CITY OK
73134-1722
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-0811
  • Fax:
Mailing address:
  • Phone: 800-749-4560
  • Fax: 405-751-3183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA206955
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: