Healthcare Provider Details

I. General information

NPI: 1992631360
Provider Name (Legal Business Name): CLAUDIA LUGO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 28TH AVE
SAN FRANCISCO CA
94121-1804
US

IV. Provider business mailing address

370 28TH AVE
SAN FRANCISCO CA
94121-1804
US

V. Phone/Fax

Practice location:
  • Phone: 310-488-7735
  • Fax:
Mailing address:
  • Phone: 310-488-7735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95035697
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: