Healthcare Provider Details

I. General information

NPI: 1962347864
Provider Name (Legal Business Name): LULIS CATERING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15136 STAGG ST # 3
VAN NUYS CA
91405-1025
US

IV. Provider business mailing address

7640 BURNET AVE # A
VAN NUYS CA
91405-1005
US

V. Phone/Fax

Practice location:
  • Phone: 818-442-2310
  • Fax:
Mailing address:
  • Phone: 818-442-2310
  • Fax: 818-442-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: MOSHE MIKE MOYAL
Title or Position: OWNER
Credential:
Phone: 818-442-2310