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Organization
SAN GABRIEL POMONA REGIONAL CENTER
Active
Organization
SAN GABRIEL POMONA REGIONAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KEITH PENMAN (EXECUTIVE DIRECTOR)
(909) 620-7722
Entity
Organization
Contact information
Practice address
761 CORPORATE CENTER DR, POMONA, CA 91768-2647
(909) 620-7722
(909) 620-7372
Mailing address
761 CORPORATE CENTER DR, POMONA, CA 91768-2647
(909) 620-7722
(909) 620-7372
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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