# TOTALLY KIDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306070107
- **Authorized official:** CYNTHIA CAPETILLO (CFO)
- **Authorized official phone:** (909) 796-6915

## Contact information

- **Practice address:** 1720 MOUNTAIN VIEW AVE, LOMA LINDA, CA 92354-1727
- **Practice address phone:** (909) 796-6915
- **Mailing address:** 1720 MOUNTAIN VIEW AVE, LOMA LINDA, CA 92354-1727
- **Mailing address phone:** (909) 796-6915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 05/07/2009