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NPI Code Detail

MEDICARE: DR. NATHANAEL JONATHAN LUNA PHARMD

MEDICARE: DR. NATHANAEL JONATHAN LUNA PHARMD
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
1183500000XPharmacist83337CA

General Provider Information

NPI Number : 1811594286
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHANAEL JONATHAN LUNA PHARMD
Provider Business Mailing Address
First Line : 9610 RIDGEHAVEN CT STE C
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-5603
Country : US
Telephone Number : 619-543-7453
Fax Number :
Provider Business Practice Location Address
First Line : 9610 RIDGEHAVEN CT STE C
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-5603
Country : US
Telephone Number : 619-543-7453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2020
Last Update Date : 11/30/2024

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