Healthcare Provider Details

I. General information

NPI: 1336902733
Provider Name (Legal Business Name): LUMA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 STEVENS AVE STE 310B
SOLANA BEACH CA
92075-2066
US

IV. Provider business mailing address

462 STEVENS AVE STE 206B
SOLANA BEACH CA
92075-2065
US

V. Phone/Fax

Practice location:
  • Phone: 858-617-0004
  • Fax:
Mailing address:
  • Phone: 858-617-0004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TROY KURZ
Title or Position: PRESIDENT
Credential:
Phone: 951-533-4280