Luna Rose Behavioral Health Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LUNA ROSE BEHAVIORAL HEALTH INC.

Practice address

1901 Newport Blvd Ste 350
Costa Mesa, CA 92627-2299

Phone

(209) 607-3014

NPI assigned

Dec 4, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tim Doyle

Title

Ceo

Phone

(209) 607-3014

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1114523248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PLUM LILY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183519",
            "telephone_number": "209-607-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 350",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272299",
            "telephone_number": "209-607-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA ROSE BEHAVIORAL HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-607-3014"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lukehart
• Vanessa Lumactod
• Cassandra Lumbang
• Shelly Rebecca Lummus, FNP
• Jessica Luna Benitez
• Erin Luna
• Sarah Maureen Luna
• Vivianna Luna
• Yesenia Luna
• Kathleen Lund, PTA

• Adult Mental Health Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.