Provider Demographics
NPI:1336237262
Name:L & L PHYSICIAN SERVICES, LLC
Entity Type:Organization
Organization Name:L & L PHYSICIAN SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / BILLER
Authorized Official - Prefix:
Authorized Official - First Name:LUANN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-229-3144
Mailing Address - Street 1:14140 ALONDRA BLVD
Mailing Address - Street 2:E
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-5821
Mailing Address - Country:US
Mailing Address - Phone:562-229-3144
Mailing Address - Fax:562-229-3142
Practice Address - Street 1:14140 ALONDRA BLVD
Practice Address - Street 2:E
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-5821
Practice Address - Country:US
Practice Address - Phone:562-229-3144
Practice Address - Fax:562-229-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage