Provider Demographics
NPI:1578882833
Name:LORIAN HEALTH
Entity Type:Organization
Organization Name:LORIAN HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AGUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHUMADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-280-8184
Mailing Address - Street 1:9325 SKY PARK CT STE 310
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4368
Mailing Address - Country:US
Mailing Address - Phone:619-280-8184
Mailing Address - Fax:877-567-4268
Practice Address - Street 1:7888 MISSION GROVE PKWY S
Practice Address - Street 2:SUITE 140
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-5064
Practice Address - Country:US
Practice Address - Phone:951-813-3700
Practice Address - Fax:877-567-4268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health