Organization
THE SOUTH LANE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN MEDINA (CEO/CO-FOUNDER)
(714) 450-2882
Entity
Organization
Contact information
Practice address
12908 SOUTH LN, REDLANDS, CA 92373-7446
(909) 351-6058
Mailing address
22800 SAVI RANCH PKWY STE 200, YORBA LINDA, CA 92887-4623
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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