Provider Demographics
NPI:1932085859
Name:LUNA, RAYMOND III
Entity type:Individual
Prefix:
First Name:RAYMOND
Middle Name:
Last Name:LUNA
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S FREMONT AVE UNIT 24
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-8862
Mailing Address - Country:US
Mailing Address - Phone:213-332-0723
Mailing Address - Fax:
Practice Address - Street 1:1000 S FREMONT AVE UNIT 24
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-8862
Practice Address - Country:US
Practice Address - Phone:213-332-0723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker