State of California - Department of Developmental Services
State of California - Department of Developmental Services is a Federally Qualified Health Center (FQHC) in Pomona, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
3530 W Pomona BlvdPomona, CA 91768-3238
Phone: (909) 444-7000
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X (CA) |
|---|
Record details
| NPI number | 1093085565 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Hutchinson — Deputy Director · (916) 654-1897 |
| Other names | Lanterman Community Clinic |
| NPI enumerated | December 30, 2011 |
| Last updated in NPPES | January 17, 2012 |
| Mailing address | 1600 9th St Ste 205, Ms 2-3, Sacramento, CA 95814-6435 |
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