Organization
CASA DE LAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO/ SR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
22590 CANYON LAKE DR S, CANYON LAKE, CA 92587-7560
(310) 530-1151
Mailing address
23700 CAMINO DEL SOL, TORRANCE, CA 90505-5017
(310) 530-1151
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
CA
Other
Enumeration date
07/15/2006
Last updated
06/09/2009
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