Active NPI
Lothlorien Health LLC
- Adult Mental Health Clinic/Center
- San Diego, CA
National Provider Identifier
1205758471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.