| Lutheran Social Services Of Southern California | |
|
32770 Old Woman Springs Road Suite C Lucerne Valley CA 92356 | |
| (760) 248-6612 | |
| Not Available |
| Full Name | Lutheran Social Services Of Southern California |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 32770 Old Woman Springs Road, Lucerne Valley, California |
| Authorized Official Name and Position | Felix Hallig-rodriguez (COMPLIANCE DIRECTOR) |
| Authorized Official Contact | 7602567279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of Southern California Po Box 1927 Big Bear Lake CA 92314 Ph: (909) 866-5070 | Lutheran Social Services Of Southern California 32770 Old Woman Springs Road Suite C Lucerne Valley CA 92356 Ph: (760) 248-6612 |
| NPI Number | 1942640818 |
|---|---|
| Provider Enumeration Date | 06/25/2013 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942640818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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