Healthcare Provider Details

I. General information

NPI: 1114868270
Provider Name (Legal Business Name): SANDRA LUNA MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50200 ROAD 427
OAKHURST CA
93644-9506
US

IV. Provider business mailing address

PO BOX 3243
OAKHURST CA
93644-3243
US

V. Phone/Fax

Practice location:
  • Phone: 559-683-4667
  • Fax:
Mailing address:
  • Phone: 559-760-0387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number230233559
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: