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NPI Code Detail

MEDICARE: LUIS DURAN

MEDICARE: LUIS DURAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1417882499
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS DURAN
Provider Business Mailing Address
First Line : 650 S INDIAN HILL BLVD
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-5444
Country : US
Telephone Number : 909-399-2222
Fax Number :
Provider Business Practice Location Address
First Line : 650 S INDIAN HILL BLVD
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-5444
Country : US
Telephone Number : 909-399-2222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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Directions to “ LUIS DURAN ” Practice Location

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