Individual
PROF. LISA GABRIELA LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
16520 HARBOR BLVD, SUITE G, FOUNTAIN VALLEY, CA 92708-1360
(714) 210-1298
(714) 210-1336
Mailing address
16520 HARBOR BLVD, SUITE G, FOUNTAIN VALLEY, CA 92708-1360
(714) 210-1298
(714) 210-1336
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO02051
CA
224P00000X
Prosthetist
Primary
CPO02051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200115
CMS NUMBER
CA
Enumeration date
07/31/2009
Last updated
03/10/2014
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