Healthcare Provider Details

I. General information

NPI: 1821925587
Provider Name (Legal Business Name): MARIA T LUQUIN CARDENAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25880 WHITE WOOD CIR
MORENO VALLEY CA
92553-4976
US

IV. Provider business mailing address

25880 WHITE WOOD CIR
MORENO VALLEY CA
92553-4976
US

V. Phone/Fax

Practice location:
  • Phone: 909-519-2046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: