LISA MARIE PENALOZA


Address: 2458 N Fillmore Ave, Rialto, CA 92377-4214
Phone: 9098551338

LISA MARIE PENALOZA (NPI# 1336629682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336629682
Entity Type Individual
Full Name LISA MARIE PENALOZA
Practice Address 2458 N Fillmore Ave
Rialto
CA 92377-4214
Mailing Address 845 E Arrow Hwy
Pomona
CA 91767-2535
Practice Telephone 9098551338
Mailing Telephone 9096241233
Enumeration Date 2018-08-16
Last Update Date 2018-08-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Office Location

Street Address 2458 N FILLMORE AVE
City RIALTO
State CA
Zip Code 92377-4214

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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689813370 Behavioral Helath Substance Abuse Rehabilitation Facility 850 E Foothill Blvd, Rialto, CA 92376-5230 2009-02-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801497359 California Care Detox & Treatment Substance Abuse Rehabilitation Facility 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 2020-11-02
1952900797 A Sacred Path Substance Abuse Rehabilitation Facility 5671 Spanish Flat Rd, Garden Valley, CA 95633 2020-10-22
1467051672 Spearhead Health Centers, LLC. Substance Abuse Rehabilitation Facility 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 2020-10-19
1073111613 A Place To Heal Substance Abuse Rehabilitation Facility 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 2020-10-15
1871191569 Old Oak Ranch Recovery Center Substance Abuse Rehabilitation Facility 19401 Susan Way, Sonora, CA 95370-9266 2020-10-14
1962009845 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 9952 Grandview Dr, La Mesa, CA 91941-6874 2020-10-05
1376140384 Magic House Recovery Inc Substance Abuse Rehabilitation Facility 1001 S Mountvale Ct, Anaheim, CA 92808-2108 2020-10-02
1942807060 New Perceptions North, LLC Substance Abuse Rehabilitation Facility 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 2020-10-01
1346857679 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 3480 Hidden Trail Dr, Jamul, CA 91935-2104 2020-09-30
1992312227 Apex Recovery, LLC Substance Abuse Rehabilitation Facility 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 2020-09-30
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Competitor

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City RIALTO
Zip Code 92377

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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