Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Marie Penaloza

Individual provider Substance Abuse Rehabilitation Facility · NPI 1336629682

Lisa Marie Penaloza is a Substance Abuse Rehabilitation Facility in Upland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1260 E Arrow Hwy
Upland, CA 91786-4982
Phone: (909) 932-1069
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CATC2210476 (CA)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1336629682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2018
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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