Healthcare Provider Details

I. General information

NPI: 1952597858
Provider Name (Legal Business Name): VANESSA KARINA SALINAS-LUNA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VANESSA KARINA SALINAS MD

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SOUTH PARKER STREET SUITE 1000
ORANGE CA
92868-4306
US

IV. Provider business mailing address

701 SOUTH PARKER STREET SUITE 1000
ORANGE CA
92868-4306
US

V. Phone/Fax

Practice location:
  • Phone: 714-221-1200
  • Fax: 714-221-1299
Mailing address:
  • Phone: 714-221-1200
  • Fax: 714-221-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBP10025773
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberA107215
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: