Healthcare Provider Details

I. General information

NPI: 1346194677
Provider Name (Legal Business Name): LUMICARE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 COLDWATER CANYON AVE UNIT 202
STUDIO CITY CA
91604-1044
US

IV. Provider business mailing address

4550 COLDWATER CANYON AVE UNIT 202
STUDIO CITY CA
91604-1044
US

V. Phone/Fax

Practice location:
  • Phone: 818-384-1003
  • Fax: 818-384-1003
Mailing address:
  • Phone: 818-384-1003
  • Fax: 818-384-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LUSINE SAAKYAN
Title or Position: CEO
Credential:
Phone: 818-384-1003