EL DORADO COUNTY CCS

NPI # 

Practice Address:

1100 Lyons Ave

South Lake Tahoe, CA, 96150-8252

Practice Phone:

530-543-2313

Practice Fax:

530-543-2275

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Rehabilitation

Taxonomy Code:

261QR0400X