| Casa Palmera, Lusk | |
|
6305 Lusk Blvd San Diego CA 92121 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | Casa Palmera, Lusk |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 6305 Lusk Blvd, San Diego, California |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Palmera, Lusk 18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | Casa Palmera, Lusk 6305 Lusk Blvd San Diego CA 92121 Ph: (714) 828-1800 |
| NPI Number | 1740871979 |
|---|---|
| Provider Enumeration Date | 01/31/2021 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740871979 | NPI | - | NPPES |
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