| Lanterman Community Clinic | |
|
3530 W Pomona Blvd Pomona CA 91768-3238 | |
| (909) 444-7000 | |
| Not Available |
| Full Name | Lanterman Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3530 W Pomona Blvd, Pomona, California |
| Authorized Official Name and Position | Mark Hutchinson (DEPUTY DIRECTOR) |
| Authorized Official Contact | 9166541897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanterman Community Clinic 1600 9th St Ste 205 Ms 2-3 Sacramento CA 95814-6435 Ph: (916) 654-2431 | Lanterman Community Clinic 3530 W Pomona Blvd Pomona CA 91768-3238 Ph: (909) 444-7000 |
| NPI Number | 1093085565 |
|---|---|
| Provider Enumeration Date | 12/30/2011 |
| Last Update Date | 01/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093085565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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