Healthcare Provider Details

I. General information

NPI: 1578409165
Provider Name (Legal Business Name): LUMA CARE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

781 GOLDEN PRADOS DR
DIAMOND BAR CA
91765-1925
US

IV. Provider business mailing address

781 GOLDEN PRADOS DR
DIAMOND BAR CA
91765-1925
US

V. Phone/Fax

Practice location:
  • Phone: 951-218-1446
  • Fax:
Mailing address:
  • Phone: 951-218-1446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LESLIE ROSS
Title or Position: BEHAVIOR ANALYST
Credential: M.A.,BCBA
Phone: 951-218-1446