| Lutheran Social Services Of Southern California | |
|
6857 Indiana Ave Riverside CA 92506-4219 | |
| (951) 689-7847 | |
| Not Available |
| Full Name | Lutheran Social Services Of Southern California |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6857 Indiana Ave, Riverside, California |
| Authorized Official Name and Position | Andrew D. Nguyen (VICE PRESIDENT, CALAIM PROGRAMS) |
| Authorized Official Contact | 7142444261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of Southern California 999 W Town And Country Rd Ste 100 Orange CA 92868-4713 Ph: (714) 685-1800 | Lutheran Social Services Of Southern California 6857 Indiana Ave Riverside CA 92506-4219 Ph: (951) 689-7847 |
| NPI Number | 1396527065 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396527065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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