1952597858 NPI number — VANESSA KARINA SALINAS-LUNA MD

Table of content: VANESSA KARINA SALINAS-LUNA MD (NPI 1952597858)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952597858 NPI number — VANESSA KARINA SALINAS-LUNA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALINAS-LUNA
Provider First Name:
VANESSA
Provider Middle Name:
KARINA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SALINAS
Provider Other First Name:
VANESSA
Provider Other Middle Name:
KARINA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1952597858
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 SOUTH PARKER STREET
Provider Second Line Business Mailing Address:
SUITE 1000
Provider Business Mailing Address City Name:
ORANGE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92868-4306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-221-1200
Provider Business Mailing Address Fax Number:
714-221-1299

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 SOUTH PARKER STREET
Provider Second Line Business Practice Location Address:
SUITE 1000
Provider Business Practice Location Address City Name:
ORANGE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92868-4306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-221-1200
Provider Business Practice Location Address Fax Number:
714-221-1299
Provider Enumeration Date:
09/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  BP10025773 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2080P0207X , with the licence number: A107215 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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