Lanterman Developmental Center

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

578663 BRN Issued in CA

Legal business name

LANTERMAN DEVELOPMENTAL CENTER

Practice address

3530 Pomona Blvd
Pomona, CA 91768-3238

Phone

(909) 595-1221

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. H. Nguyen, MD

Title

Medical Director

Phone

(909) 595-1221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1750566576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 SHADY HILLS DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652817",
            "telephone_number": "909-519-9531",
            "fax_number": "909-861-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 POMONA BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683238",
            "telephone_number": "909-595-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTERMAN DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "H.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-595-1221",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "578663 BRN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Kathleen Lane, LCSW
• Adelina Mercedes Lang
• Mayra E Langarica
• Jentry Lange
• Paolo Lansangan
• Ligia Veronica Lanuza, NP
• Albert Lanzillo
• Brandon Lao
• Candice Lao
• Crystal Tiffany Lao, PHARMD

• Intellectual Disabilities Intermediate Care Facility in Pomona, CA
• Providers in Pomona, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.