Most Relevant Information
Provider Data
| NPI Number: | 1003667171 |
| Provider Name: | ALEXANDRIA LUNA |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | SPA8507 |
Most Important Dates
| Enumeration Date: | 03/28/2024 |
| Last Updated: | 03/28/2024 |
Provider Practice Location
14606 MOUNTAIN SPRING ST
HACIENDA HEIGHTS
CA
917452648
Practice Location Phone/Fax
| Phone: | 3106298267 |
| Fax: |
Provider Mailing Location
10329 COOKS DR UNIT 3
RANCHO CUCAMONGA
CA
917300321
Provider Mailing Phone/Fax
| Phone: | 6266144753 |
| Fax: |