| De La Luna | |
|
3711 Long Beach Blvd Long Beach CA 90807-3315 | |
| (559) 284-1872 | |
| Not Available |
| Full Name | De La Luna |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3711 Long Beach Blvd, Long Beach, California |
| Authorized Official Name and Position | Dawn-marie Luna (CEO/CLINICAL THERAPIST) |
| Authorized Official Contact | 5592841872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De La Luna 2922 Pacific Ave Long Beach CA 90806-1417 Ph: () - | De La Luna 3711 Long Beach Blvd Long Beach CA 90807-3315 Ph: (559) 284-1872 |
| NPI Number | 1790566586 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790566586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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