LIFE LINE CENTERS OF CALIFORNIA INC


Address: 856 N Sacramento St Ste H, Lodi, CA 95240-1251
Phone: 2093675433

LIFE LINE CENTERS OF CALIFORNIA INC (NPI# 1154871416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154871416
Entity Type Organization
Organization Name LIFE LINE CENTERS OF CALIFORNIA INC
Practice Address 856 N Sacramento St Ste H
Lodi
CA 95240-1251
Practice Telephone 2093675433
Enumeration Date 2016-10-11
Last Update Date 2016-11-23
Authorized Official Name MINDI ANDERSON (CEO)
Authorized Official Telephone 2093675433
Authorized Official Credential LICENSED SPECIAL
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 856 N SACRAMENTO ST STE H
City LODI
State CA
Zip Code 95240-1251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841710282 Mindi Ann Anderson Counselor 856 N Sacramento St Ste H, Lodi, CA 95240-1251 2017-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962034991 Dr. Jeffrey A Saladin, Dental Corporation Dentist 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 2020-02-07
1548747082 Gill and Patel Dental Corporation Dentist 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 2018-07-27
1629511308 Jose Daniel Garcia Licensed Vocational Nurse 12755 Ca-88, Lodi, CA 95240 2016-11-29
1104372754 Jocelyn Janel Shilue Specialist/Technologist 705 Brandywine Drive, Lodi, CA 95240 2016-09-01
1750735965 Natharchia R Peoples Counselor 9150 Ca-12, Lodi, CA 95240 2016-04-14
1891189403 Valley Community Couseling Services Case Management 1300 W. Lodi Ste G-2, Stockton, CA 95240 2015-03-20
1114317195 Carol Kooyman Speech-Language Pathologist 831 So. Lee Ave., Lodi, CA 95240 2015-01-29
1730514464 Richard Barry Sirard Pharmacist 520 S Cherokee Lane, Lodi, CA 95240 2013-09-12
1740622570 Joshlynn Uribe Marriage & Family Therapist 13520 E Live Oak Rd, Lodi, CA 95240 2013-07-22
1902172406 Sital Singh Internal Medicine 999 S Fairmont Ave Ste 125, Lodi, CA 95240 2012-03-29
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740631985 Alexis Cortez-bautista Counselor 441 S Ham Ln Ste A, Lodi, CA 95242-3525 2016-06-29
1467814301 Michael Compton Counselor 441 S. Ham Lane, Suite A, Lodi, CA 95242-3525 2016-03-21
1649419649 Claudia Irene Fender Counselor 1300 W Lodi Ave Ste G2, Lodi, CA 95242-3037 2009-02-13
1649459546 Kimberly Ann White Counselor 441 S. Ham Lane Suite A, Lodi, CA 95242 2007-10-26
1548869050 Heather Lizbeth Pittman Counselor 541 S Ham Ln, Lodi, CA 95242-3530 2020-10-26
1477151843 Mackenzie Rick Evans Counselor 541 S Ham Ln, Lodi, CA 95242-3530 2020-10-16
1003421314 Esperanza Gonzales Counselor 541 S Ham Ln Ste A&b, Lodi, CA 95242-3530 2020-09-14
1558996900 Veronica Marie Alfalla Counselor 441 S Ham Ln, Lodi, CA 95242-3525 2020-03-05
1306492822 Abigail Gillett Counselor 441 S Ham Ln Ste A, Lodi, CA 95242-3525 2019-08-12
1043866627 Jennifer Preap Counselor 441 S Ham Ln Ste A, Lodi, CA 95242-3525 2019-08-10
Find all providers in LODI

Competitor

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City LODI
Zip Code 95240

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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