Healthcare Provider Details

I. General information

NPI: 1063343176
Provider Name (Legal Business Name): LUNA MED SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S VICTORY BLVD STE 203
BURBANK CA
91502-2899
US

IV. Provider business mailing address

120 S VICTORY BLVD STE 203
BURBANK CA
91502-2899
US

V. Phone/Fax

Practice location:
  • Phone: 818-823-3897
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084D0003X
TaxonomyDiagnostic Neuroimaging (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: HAYK MINASYAN
Title or Position: CEO
Credential:
Phone: 818-823-3897