Individual
MR. ALFONSO LUNA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
657 S LANCEWOOD AVE, BLOOMINGTON, CA 92316-1336
(909) 730-2927
Mailing address
6368 HOLLYWOOD BLVD, HOLLYWOOD, CA 90028-6320
(323) 469-5555
(323) 466-0405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53349
CA
Other
Enumeration date
04/20/2016
Last updated
08/16/2016
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