| Organization Name: | LUMINANCE RECOVERY CENTER |
| NPI Number: | 1134515455 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL CASTANON (MANAGING DIRECTOR) |
| Mailing Address: | 27126b Paseo Espada # B Suite 721 San Juan Capistrano |
| State: | CA US |
| Postal Code: | 926752721 |
| Phone Number: | 9493597300 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2015 |
| NPI Last Update Date: | 05/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |