Healthcare Provider Details

I. General information

NPI: 1083531354
Provider Name (Legal Business Name): BRIANA NICOLE LUNA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

647 E ST
CHULA VISTA CA
91910-2119
US

IV. Provider business mailing address

369 PLATEAU AVE
SAN MARCOS CA
92078-4361
US

V. Phone/Fax

Practice location:
  • Phone: 619-934-0300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: