Provider Demographics
NPI:1942015524
Name:LUNA, PATRICIA LEVI
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEVI
Last Name:LUNA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13350 DOS LOMAS WAY
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-6357
Mailing Address - Country:US
Mailing Address - Phone:323-400-7901
Mailing Address - Fax:
Practice Address - Street 1:13350 DOS LOMAS WAY
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-6357
Practice Address - Country:US
Practice Address - Phone:323-712-9071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician