| Lutheran Social Services Of Southern California | |
|
309 E Mountain View St Suite 100,101,102,104 Barstow CA 92311-2814 | |
| (760) 256-7279 | |
| Not Available |
| Full Name | Lutheran Social Services Of Southern California |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 309 E Mountain View St, Barstow, 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 309 E Mountain View St Barstow CA 92311-2897 Ph: (760) 256-7679 | Lutheran Social Services Of Southern California 309 E Mountain View St Suite 100,101,102,104 Barstow CA 92311-2814 Ph: (760) 256-7279 |
| NPI Number | 1184061210 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184061210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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