Luna Medical Services LLC
Anesthesiology in Avondale, AZ. Organization (NPI-2).
NPI number1053148643
StatusActive
Last updated in NPPESSep 17, 2024
Details
- NPI
- 1053148643
- Entity type
- Organization (NPI-2)
- Legal business name
- Luna Medical Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 17, 2024
- Certification date
- Sep 17, 2024
- Last updated
- Sep 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
10815 W McDowell RdAvondale, AZ 85392-5007
Phone 209-956-7732
Mailing address
Po Box 7096Stockton, CA 95267-0096
Phone 209-956-7732
Authorized official
Angelo Liciaga
Consultant
4802000726
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