MEDICARE: LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1851170203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA

Provider Business Mailing Address
First Line	:	999 W TOWN AND COUNTRY RD STE 100
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 PINE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1821
Country	:	US
Telephone Number	:	562-474-2562
Fax Number	:

Authorized Official
Title or Position	:	COMPLIANCE DIRECTOR
Name	:	FELIX HALLIG-RODRIGUEZ
Credential	:
Telephone Number	:	213-840-6119

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	06/26/2025

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Directions to “LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA ” Practice Location

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