Healthcare Provider Details

I. General information

NPI: 1790690709
Provider Name (Legal Business Name): SUNNY MATHEW LUNA ACSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3924 RIVERVIEW DR
JURUPA VALLEY CA
92509-6611
US

IV. Provider business mailing address

4788 LOGANA PLZ
YORBA LINDA CA
92886-3510
US

V. Phone/Fax

Practice location:
  • Phone: 951-416-1572
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number138950
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: