Provider Demographics
NPI:1689359226
Name:CHOWDHURY, LUNA HAMID (NP)
Entity type:Individual
Prefix:
First Name:LUNA
Middle Name:HAMID
Last Name:CHOWDHURY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LUNA
Other - Middle Name:HAMID
Other - Last Name:CHOWDHURY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:20145 ZIMMERMAN PL
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-1275
Mailing Address - Country:US
Mailing Address - Phone:818-624-2378
Mailing Address - Fax:
Practice Address - Street 1:20145 ZIMMERMAN PL
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91390-1275
Practice Address - Country:US
Practice Address - Phone:818-624-2378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF06231133363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner