Organization
LUTHERAN SOCIAL SERVICES OF NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIXTLICOATL R GONZALEZ (DATA SYSTEMS MANAGER)
(916) 900-0614
Entity
Organization
Contact information
Practice address
2450 ALHAMBRA BLVD STE 101, SACRAMENTO, CA 95817-1120
(916) 453-2900
(916) 454-2930
Mailing address
2450 ALHAMBRA BLVD STE 101, SACRAMENTO, CA 95817-1120
(916) 453-2900
(916) 454-2930
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/13/2009
Last updated
10/11/2022
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