Healthcare Provider Details

I. General information

NPI: 1093633026
Provider Name (Legal Business Name): ISABEL LUNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 E 120TH ST
LOS ANGELES CA
90059-3051
US

IV. Provider business mailing address

10734 KELMORE ST APT A
CULVER CITY CA
90230-5411
US

V. Phone/Fax

Practice location:
  • Phone: 323-568-3347
  • Fax:
Mailing address:
  • Phone: 415-747-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: