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NPI Code Detail

MEDICARE: MARIA LUCHETTA

MEDICARE:   MARIA  LUCHETTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1114884483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LUCHETTA
Provider Business Mailing Address
First Line : 3960 INDUSTRIAL BLVD # 600
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3496
Country : US
Telephone Number : 626-484-3657
Fax Number :
Provider Business Practice Location Address
First Line : 3960 INDUSTRIAL BLVD # 600
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3496
Country : US
Telephone Number : 916-752-8965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ MARIA LUCHETTA ” Practice Location

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