# LAGUNA ICF, INC.

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

## Provider details

- **NPI number:** 1336290014
- **Authorized official:** MR. FELIPE TAPANGCO LAPASTORA JR. (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (209) 836-5561

## Contact information

- **Practice address:** 294 LAGUNA DR, TRACY, CA 95376-1930
- **Practice address phone:** (209) 836-5561
- **Practice address fax:** (209) 832-5990
- **Mailing address:** 294 LAGUNA DR, TRACY, CA 95376-1930
- **Mailing address phone:** (209) 836-5561
- **Mailing address fax:** (209) 832-5990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | CA | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 09/06/2023