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NPI Code Detail

MEDICARE: L.U.N.A. RECOVERY

MEDICARE: L.U.N.A. RECOVERY
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225344179
Entity Type Code : Organization
Provider Name (Legal Business Name) : L.U.N.A. RECOVERY
Provider Business Mailing Address
First Line : 6608 GRETNA AVE
Second Line :
City : WHITTIER
State : CA
Zip : 90606-1902
Country : US
Telephone Number : 562-699-0400
Fax Number : 562-699-0422
Provider Business Practice Location Address
First Line : 12417 PHILADELPHIA ST
Second Line : LIBRARY
City : WHITTIER
State : CA
Zip : 90601-3933
Country : US
Telephone Number : 562-698-8721
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : RAMONA GARCIA
Credential :
Telephone Number : 562-699-0400
Provider Enumeration Date : 08/28/2010
Last Update Date : 08/28/2010

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Directions to “L.U.N.A. RECOVERY ” Practice Location

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