MEDICARE: VICTORIA ISABEL LUNA AMFT

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	106H00000X	Marriage & Family Therapist	AMFT154390	CA

General Provider Information

NPI Number	:	1699620682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA ISABEL LUNA AMFT

Provider Business Mailing Address
First Line	:	5252 BALBOA AVE STE 408
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-6939
Country	:	US
Telephone Number	:	858-735-8608
Fax Number	:

Provider Business Practice Location Address
First Line	:	16516 BERNARDO CENTER DR STE 330
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2552
Country	:	US
Telephone Number	:	858-333-6856
Fax Number	:	858-999-2014

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

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/05/2026

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