Provider Demographics
NPI:1649813742
Name:LUNA, JOJO (MSN-FNP)
Entity type:Individual
Prefix:
First Name:JOJO
Middle Name:
Last Name:LUNA
Suffix:
Gender:M
Credentials:MSN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 PREMIERE HILLS CIR APT 232
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-0871
Mailing Address - Country:US
Mailing Address - Phone:408-667-4116
Mailing Address - Fax:
Practice Address - Street 1:5210 PREMIERE HILLS CIR APT 232
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-0871
Practice Address - Country:US
Practice Address - Phone:408-667-4116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95012776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95012776OtherCA BOARD OF REGISTERED NURSING