| Lutheran Social Services Of Southern California | |
|
82820 Trona Rd Ste C Trona CA 93562-1929 | |
| (760) 372-5159 | |
| Not Available |
| Full Name | Lutheran Social Services Of Southern California |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 82820 Trona Rd Ste C, Trona, 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 92315 Ph: (909) 866-5070 | Lutheran Social Services Of Southern California 82820 Trona Rd Ste C Trona CA 93562-1929 Ph: (760) 372-5159 |
| NPI Number | 1528494796 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 05/26/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528494796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Trona Behavioral Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13209 Market Street, Trona, CA 93562 Phone: 909-382-3080 Fax: 909-382-3105 |