NPI Code Detail JSON Logo

1770317513 NPI number — VICTOR MANUEL LUNA JR.

NPI Number: 1770317513
Health Care Provider/Practitioner: VICTOR MANUEL LUNA JR.

Information about “1770317513” NPI (VICTOR MANUEL LUNA JR.) exists in 1770317513 in HTML format HTML  |  1770317513 in plain Text format TXT  |  1770317513 in PDF (Portable Document Format) PDF  |  1770317513 in an XML format XML  formats.

NPI Number : 1770317513 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770317513",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LUNA",
    "FirstName": "VICTOR",
    "MiddleName": "MANUEL",
    "NamePrefix": null,
    "NameSuffix": "JR.",
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1910 MAGNOLIA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90007-1220",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "213-342-0100",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1910 MAGNOLIA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90007-1220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "213-342-0100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/26/2024",
    "LastUpdateDate": "09/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "ASW132235",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.