Organization
STATE OF CALIFORNIA - DEPARTMENT OF DEVELOPMENTAL SERVICES
Active
Other names
LANTERMAN DEVELOPMENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA CASTANEDA (CHIEF DEPUTY DIRECTOR)
(916) 654-2282
Entity
Organization
Contact information
Practice address
3530 POMONA BLVD, POMONA, CA 91768-3238
(909) 595-1221
(909) 595-7252
Mailing address
PO BOX 944202 1215 O STREET MS 10-30, SACRAMENTO, CA 94244-2020
(916) 654-3463
(916) 653-4587
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
170000772
CA
313M00000X
Nursing Facility/Intermediate Care Facility
170000772
CA
314000000X
Skilled Nursing Facility
170000772
CA
315P00000X
Intellectual Disabilities Intermediate Care Facility
170000772
CA
333600000X
Pharmacy
170000772
CA
Other
Enumeration date
05/12/2006
Last updated
01/24/2022
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