Provider Demographics
NPI:1992116933
Name:AKANA, LUANA BETH
Entity type:Individual
Prefix:
First Name:LUANA
Middle Name:BETH
Last Name:AKANA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11612 BANNER DR
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92943
Mailing Address - Country:US
Mailing Address - Phone:714-322-0815
Mailing Address - Fax:
Practice Address - Street 1:11612 BANNER DR
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843-2705
Practice Address - Country:US
Practice Address - Phone:714-322-0815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27160173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist