Provider Demographics
NPI:1356713663
Name:LUVIANO, EVA ALICIA
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:ALICIA
Last Name:LUVIANO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44720 RODIN AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-3110
Mailing Address - Country:US
Mailing Address - Phone:661-733-7221
Mailing Address - Fax:661-272-0415
Practice Address - Street 1:1609 E PALMDALE BLVD SUITE G
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550
Practice Address - Country:US
Practice Address - Phone:661-947-1595
Practice Address - Fax:661-272-0415
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist