| Lumina Alliance | |
|
51 Zaca Ln Ste 150 San Luis Obispo CA 93401-7319 | |
| (805) 781-6401 | |
| Not Available |
| Full Name | Lumina Alliance |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 51 Zaca Ln Ste 150, San Luis Obispo, California |
| Authorized Official Name and Position | Karen K. Borges (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8057203312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumina Alliance Po Box 125 San Luis Obispo CA 93406-0125 Ph: (805) 781-6401 | Lumina Alliance 51 Zaca Ln Ste 150 San Luis Obispo CA 93401-7319 Ph: (805) 781-6401 |
| NPI Number | 1033761358 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033761358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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