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
—
—
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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