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Organization

LELANIE M. LUNA, M.D., FAAP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMMANUEL C. LUNA M.D. (SECRETARY)
(818) 500-1331
Entity
Organization

Contact information

Practice address
1500 S CENTRAL AVE, SUITE 310, GLENDALE, CA 91204-2530
(818) 500-1331
(818) 500-1595
Mailing address
1500 S CENTRAL AVE, SUITE 310, GLENDALE, CA 91204-2530
(818) 500-1331
(818) 500-1595

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A49959
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0084650
CA
Enumeration date
01/31/2007
Last updated
01/03/2008
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