Lanterman Community Clinic

LBN: State Of California - Department Of Developmental Services
Lanterman Community Clinic is an health care organization with primary practice located at 3530 W Pomona Blvd , Pomona CA 91768-3238. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. State Of California - Department Of Developmental Services can be contacted via phone (909) 444-7000, or through Hutchinson, Mark via phone (916) 654-1897.

Contact Information

Primary practice address
3530 W Pomona Blvd Pomona CA 91768-3238
Phone: (909) 444-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hutchinson, Mark
Phone: (916) 654-1897

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X California

Profile Details

NPI number 1093085565
LBN Legal business name State Of California - Department Of Developmental Services
DBA Doing business as Lanterman Community Clinic
Authorized official Hutchinson, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2011
Last updated Jan 17th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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