institution
State Of California - Department Of Developmental Services
Federally Qualified Health Center (FQHC) in Pomona, California
NPI 1093085565

State Of California - Department Of Developmental Services is a Federally Qualified Health Center (FQHC) based in Sacramento, CA and is specialized in Federally Qualified Health Center (FQHC). State Of California - Department Of Developmental Services practices in Pomona, CA. The NPI Number for State Of California - Department Of Developmental Services is 1093085565 and holds a License No. (California).

The current practice location address for State Of California - Department Of Developmental Services is 3530 W Pomona Blvd, Pomona, CA and can be reached out via phone at 909-444-7000.

Location: 3530 W Pomona Blvd, Pomona, CA, 95814-6435
institution
Provider Profile Details
NPI Number
1093085565
Provider Name
State Of California - Department Of Developmental Services
Credential
Provider Entity Type
Organization
Address
3530 W Pomona Blvd, Pomona, CA, 95814-6435
Phone Number
909-444-7000
Fax Number
Provider Enumeration Date
12/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3530 W Pomona Blvd
City
State
Zip
91768-3238
Phone Number
909-444-7000
Fax Number
person
Provider Business Mailing Address Details
Address
3530 W Pomona Blvd
City
State
Zip
91768-3238
Phone Number
909-444-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(California)
Definition
Definition to come...
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