Organization
DEPARTMENT OF BEHAVIOUR HEALTH, SB COUNTY
Active
Organization
DEPARTMENT OF BEHAVIOUR HEALTH, SB COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJENDRA KUMAR LALL LCSW (MH CLINICIAN 3)
(909) 421-9378
Entity
Organization
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9378
(909) 421-9494
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9378
(909) 421-9494
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
LCS7515
CA
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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