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General NPI Number Information
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NPI Number | 1144156241
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Entity Type | Organization
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Legal Business Name | LUMINARIAS PSYCHOLOGICAL SERVICES, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 601 S BRAND BLVD STE 110
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City | SAN FERNANDO
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State | CA
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Zip | 91340-4039
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Country | US
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Telephone | 818-714-2275
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S BRAND BLVD STE 110
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City | SAN FERNANDO
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State | CA
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Zip | 91340-4039
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Country | US
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Telephone | 818-714-2275
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSE CARDENAS
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Credential | PSYD
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Telephone | 818-314-8358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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