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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