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California Mentor — NPI 1235472168, Rancho Cucamonga, CA | NPI Central

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NPI 1235472168

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California Mentor

NPI 1235472168 · Early Intervention Provider Agency · Rancho Cucamonga, CA

Provider details

NPI number: 1235472168
Entity type: Organization
Primary specialty: Early Intervention Provider AgencyAgencies
Parent organization: National Mentor Healthcare, LLC
Organization subpart: Yes
Authorized official: Brett Cohen, Coo(800) 388-5150

Specialties & taxonomies

Early Intervention Provider AgencyPrimary252Y00000X
Agencies
Community/Behavioral Health Agency251S00000X
Agencies

Practice location

9166 Anaheim Pl

Suite 200

Rancho Cucamonga, CA 91730-8541

Phone: (909) 483-2505

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

9166 Anaheim Pl

Rancho Cucamonga, CA 91730-8541

Registry dates

Enumerated: 2013-03-28
Last updated: 2023-03-05
Certified: 2023-03-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.