| Lsssc | |
|
515 Cabrillo Park Dr Ste 102 Santa Ana CA 92701-5016 | |
| (714) 534-6450 | |
| (714) 534-6450 |
| Full Name | Lsssc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 515 Cabrillo Park Dr Ste 102, Santa Ana, California |
| Authorized Official Name and Position | Gershom I Chavez (VIP PROGRAM MANAGER) |
| Authorized Official Contact | 7145346450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsssc 999 W Town And Country Rd Ste 100 Orange CA 92868-4713 Ph: (714) 475-2387 | Lsssc 515 Cabrillo Park Dr Ste 102 Santa Ana CA 92701-5016 Ph: (714) 534-6450 |
| NPI Number | 1144681503 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 10/11/2024 |
| Certification Date | 10/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144681503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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