| NPI | 1528618196 |
|---|---|
| Doing Business As | LA LUNA |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2025-07-02 |