Provider Demographics
NPI:1184061210
Name:LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA
Entity type:Organization
Organization Name:LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLIG-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:760-256-7279
Mailing Address - Street 1:309 E MOUNTAIN VIEW ST
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-2897
Mailing Address - Country:US
Mailing Address - Phone:760-256-7679
Mailing Address - Fax:
Practice Address - Street 1:309 E MOUNTAIN VIEW ST
Practice Address - Street 2:SUITE 100,101,102,104
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-2814
Practice Address - Country:US
Practice Address - Phone:760-256-7279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-30
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health