Organization Active NPI

Lothlorien Health LLC

  • Adult Mental Health Clinic/Center
  • San Diego, CA
National Provider Identifier
1205758471
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LOTHLORIEN HEALTH LLC
Practice address
11835 Carmel Mountain Rd Ste 1304-274
San Diego, CA 92128-4609
Phone
(858) 218-5492
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glennie Leshen, MD
Title
Owner
Phone
(858) 218-5492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

11835 Carmel Mountain Rd Ste 1304-274
San Diego, CA 92128-4609

Mailing address

11835 Carmel Mountain Rd Ste 1304-274
San Diego, CA 92128-4609

National Provider Directory

National Provider Directory

Locations

11835 Carmel Mountain Rd
Ste 1304274
San Diego, CA 92128

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1205758471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 CARMEL MOUNTAIN RD STE 1304-274",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 CARMEL MOUNTAIN RD STE 1304-274",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284609",
            "telephone_number": "858-218-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTHLORIEN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "LESHEN",
        "authorized_official_first_name": "GLENNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-218-5492",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.