LANTERMAN DEVELOPMENTAL CENTER NPI 1750566576

NPI Information

LANTERMAN DEVELOPMENTAL CENTER is an intermediate care facility mentally retarded in Pomona, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. LANTERMAN DEVELOPMENTAL CENTER NPI is 1750566576. The provider is registered as an organization entity type.

The provider's business location address is:

3530 POMONA BLVD
POMONA, CA
ZIP 91768-238
Phone: (909) 595-1221

The provider's authorized official is H. Nguyen .
The authorized official title is Medical Director and has the following contact phone number (909) 595-1221.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 12/31/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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