Provider Demographics
NPI:1740414382
Name:PAYOR, LUCAS B (MD)
Entity Type:Individual
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First Name:LUCAS
Middle Name:B
Last Name:PAYOR
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4100 GUARDIAN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-6717
Mailing Address - Country:US
Mailing Address - Phone:855-504-4544
Mailing Address - Fax:805-577-2018
Practice Address - Street 1:18436 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4107
Practice Address - Country:US
Practice Address - Phone:818-435-1400
Practice Address - Fax:818-435-1492
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2017-02-24
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Provider Licenses
StateLicense IDTaxonomies
CAA1292332085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology