Luna, Lisa Gabriela

Luna, Lisa Gabriela is an individual health care provider with primary practice located at 16520 Harbor Blvd Suite G, Fountain Valley CA 92708-1360. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is her primary health care specialty. Luna, Lisa Gabriela can be contacted via phone (714) 210-1298.

Contact Information

Primary practice address
16520 Harbor Blvd Suite G Fountain Valley CA 92708-1360
Phone: (714) 210-1298
Fax: (714) 210-1336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO02051 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO02051 California

Profile Details

NPI number 1073744504
LBN Legal business name Luna, Lisa Gabriela
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2009
Last updated Mar 10th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073744504 NPPES
California Other 200115 CMS NUMBER

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