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General NPI Number Information
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NPI Number | 1336902733
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Entity Type | Organization
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Legal Business Name | LUMA HEALTH
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 462 STEVENS AVE STE 310
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2066
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Country | US
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Telephone | 858-617-0004
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Fax |
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Provider Business Mailing Address
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Address Line | 462 STEVENS AVE STE 310B
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2066
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Country | US
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Telephone | 858-617-0004
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TROY KURZ
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Credential |
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Telephone | 951-533-4280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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