Healthcare Provider Details

I. General information

NPI: 1427980044
Provider Name (Legal Business Name): LUC AURA MENTAL HEALTH NURSING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8907 WARNER AVE STE 222
HUNTINGTON BEACH CA
92647-5082
US

IV. Provider business mailing address

4913 PERSIMMON AVE
TEMPLE CITY CA
91780-4151
US

V. Phone/Fax

Practice location:
  • Phone: 626-475-8330
  • Fax:
Mailing address:
  • Phone: 626-475-8330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VIEN T NGUYEN
Title or Position: CEO
Credential: NP
Phone: 626-475-8330