Healthcare Provider Details

I. General information

NPI: 1093649592
Provider Name (Legal Business Name): LUKE NOON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6451 EL CAMINO REAL STE B2
CARLSBAD CA
92009-2800
US

IV. Provider business mailing address

380 STEVENS AVE STE 314
SOLANA BEACH CA
92075-2069
US

V. Phone/Fax

Practice location:
  • Phone: 858-755-5200
  • Fax: 760-230-0284
Mailing address:
  • Phone: 858-755-5200
  • Fax: 858-755-5201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number310319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: