Organization Active NPI

Corbin House Sober Living for Women

  • Substance Abuse Rehabilitation Facility
  • Lodi, CA
National Provider Identifier
1548174774
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CORBIN HOUSE SOBER LIVING FOR WOMEN
Practice address
2448 Corbin LN
Lodi, CA 95242-3628
Phone
(209) 649-7510
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurance Bertalino
Title
President
Phone
(209) 649-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

2448 Corbin LN
Lodi, CA 95242-3628

Mailing address

2448 Corbin LN
Lodi, CA 95242-3628
Phone (209) 649-7510

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1548174774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 CORBIN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423628",
            "telephone_number": "209-649-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 CORBIN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423628",
            "telephone_number": "209-649-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBIN HOUSE SOBER LIVING FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "BERTALINO",
        "authorized_official_first_name": "LAURANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-649-7510"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.