Provider Demographics
NPI:1881942407
Name:LUNA, NATALIA IRASEMA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:IRASEMA
Last Name:LUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 W CORRELL RD
Mailing Address - Street 2:
Mailing Address - City:HEBER
Mailing Address - State:CA
Mailing Address - Zip Code:92249-9644
Mailing Address - Country:US
Mailing Address - Phone:760-562-4010
Mailing Address - Fax:
Practice Address - Street 1:52 W CORRELL RD
Practice Address - Street 2:
Practice Address - City:HEBER
Practice Address - State:CA
Practice Address - Zip Code:92249-9644
Practice Address - Country:US
Practice Address - Phone:442-367-6659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA859791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical