Healthcare Provider Details

I. General information

NPI: 1831026087
Provider Name (Legal Business Name): MONICA ALEXANDRA LUNA AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16600 SHERMAN WAY STE 280
VAN NUYS CA
91406-3785
US

IV. Provider business mailing address

16600 SHERMAN WAY STE 280
VAN NUYS CA
91406-3785
US

V. Phone/Fax

Practice location:
  • Phone: 818-221-1572
  • Fax: 909-667-8148
Mailing address:
  • Phone: 818-221-1572
  • Fax: 909-667-8148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161717
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: