Healthcare Provider Details

I. General information

NPI: 1285108555
Provider Name (Legal Business Name): PRECIOUS LIFE CLINICS-CES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2019
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 S ARROWHEAD AVE
SAN BERNARDINO CA
92408-1335
US

IV. Provider business mailing address

1968 S COAST HWY STE 2920
LAGUNA BEACH CA
92651-3681
US

V. Phone/Fax

Practice location:
  • Phone: 909-454-6297
  • Fax:
Mailing address:
  • Phone: 909-454-6297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN LA SHARN HOBSON
Title or Position: DIRECTOR OF SERVICES
Credential: MSW., PH.D., SUDCCIV
Phone: 909-454-6297