Provider Demographics
NPI:1619111820
Name:CARO, LUNA P (NP)
Entity Type:Individual
Prefix:
First Name:LUNA
Middle Name:P
Last Name:CARO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 W 8TH ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90057-5016
Mailing Address - Country:US
Mailing Address - Phone:562-413-7400
Mailing Address - Fax:213-388-1507
Practice Address - Street 1:2405 W 8TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-5016
Practice Address - Country:US
Practice Address - Phone:213-388-2229
Practice Address - Fax:213-388-1507
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-01
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP18717363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily