Healthcare Provider Details

I. General information

NPI: 1134772973
Provider Name (Legal Business Name): GENEVIEVE LUARCA NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 WATERWORKS WAY STE 240
IRVINE CA
92618-3175
US

IV. Provider business mailing address

2121 E LORAINE ST
WEST COVINA CA
91792-1735
US

V. Phone/Fax

Practice location:
  • Phone: 949-340-9622
  • Fax: 949-528-3969
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95010382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: