Individual provider Active NPI

Luna Covarrubias-Klein

  • Case Manager/Care Coordinator
  • North Hollywood, CA
National Provider Identifier
1396112439
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
ASW66083 Issued in CA
Practice address
6736 Laurel Canyon Blvd
Suite 200
North Hollywood, CA 91606-1538
Phone
(818) 755-8786
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X ASW66083 CA Primary

Addresses

Primary practice location

6736 Laurel Canyon Blvd
Suite 200
North Hollywood, CA 91606-1538

Mailing address

PO Box 1055
Alhambra, CA 91802-1055
Phone (626) 344-7694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW66083CAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1396112439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1055",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918021055",
            "telephone_number": "626-344-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6736 LAUREL CANYON BLVD",
            "address_2": "SUITE 200",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061538",
            "telephone_number": "818-755-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS-KLEIN",
        "first_name": "LUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "ASW66083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.