Healthcare Provider Details

I. General information

NPI: 1881514834
Provider Name (Legal Business Name): JENNIFER LOPEZ-LUNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 STATE ST STE G750 21600 OXNARD ST STE 1800
SALINAS CA
93905
US

IV. Provider business mailing address

996 ROYAL MARCO WAY MARCO ISLAND, FL 34145 21600 OXNARD ST STE 1800
SALINAS CA
93905
US

V. Phone/Fax

Practice location:
  • Phone: 831-269-6373
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: