# LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023766185
- **Legal business name:** LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
- **Authorized official:** MIXTLICOATL R GONZALEZ (DATA SYSTEMS MANAGER)
- **Authorized official phone:** (916) 900-0614

## Contact information

- **Practice address:** 4550 N PERSHING AVE STE 120, STOCKTON, CA 95207-6737
- **Practice address phone:** (916) 900-6140
- **Mailing address:** 4390 47TH AVE, SACRAMENTO, CA 95824-3700
- **Mailing address phone:** (916) 900-6140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 04/05/2022