Healthcare Provider Details

I. General information

NPI: 1871420018
Provider Name (Legal Business Name): LUTHERAN SOCIAL SERVICES SOUTHERN CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 E MOUNTAIN VIEW ST
BARSTOW CA
92311-2897
US

IV. Provider business mailing address

PO BOX 751
YERMO CA
92398-0751
US

V. Phone/Fax

Practice location:
  • Phone: 253-886-1528
  • Fax:
Mailing address:
  • Phone: 253-886-1528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALISHA T HUNT
Title or Position: FACILITATOR
Credential:
Phone: 253-886-1528