Organization
STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
Active
Organization
STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
Active
Other names
Lanterman Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HUTCHINSON (DEPUTY DIRECTOR)
(916) 654-1897
Entity
Organization
Contact information
Practice address
3530 W POMONA BLVD, POMONA, CA 91768-3238
(909) 444-7000
Mailing address
1600 9TH ST STE 205, MS 2-3, SACRAMENTO, CA 95814-6435
(916) 654-2431
(916) 653-4587
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
12/30/2011
Last updated
01/17/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up