Lutheran Social Services of Northern California

NPI #1023766185 in Stockton, California

Provider Information

NPI Number: 1023766185
Entity Type: Organization
Organization Name: Lutheran Social Services of Northern California
Subpart: Yes (part of a larger organization)
Parent Organization: LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
Primary Specialty: Case Management
Enumeration Date: Mar 16, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 4550 N PERSHING AVE STE 120
City: Stockton
State: California
ZIP Code: 95207-6737
Phone: (916) 900-6140

Authorized Official

Name: MIXTLICOATL R GONZALEZ
Title: DATA SYSTEMS MANAGER
Phone: (916) 900-0614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Case Management	251B00000X	Primary

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