Individual
ROBERT LUNTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3151 AIRWAY AVE STE P3, COSTA MESA, CA 92626-4626
(949) 649-2339
Mailing address
3151 AIRWAY AVE STE P3, COSTA MESA, CA 92626-4626
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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