MEDICARE: JAMES LUNA

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
1	363LA2100X	Acute Care Nurse Practitioner	95035635	CA

General Provider Information

NPI Number	:	1356203418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES LUNA

Provider Business Mailing Address
First Line	:	4200 CHINO HILLS PKWY STE 650
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-3780
Country	:	US
Telephone Number	:	909-970-7764
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 CHINO HILLS PKWY STE 650
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-3780
Country	:	US
Telephone Number	:	909-970-7764
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	11/26/2025

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