NPI 1003068479
Turquoise Division
Practice location
- Address
- 5535 Turquoise Ave, Rancho Cucamonga, CA 91701-1822
- Phone
- (909) 899-5046
- Fax
- (909) 463-2005
- Mailing address
- 13342 Victoria St, Rancho Cucamonga, CA 91739-2020
Authorised official
- Name
- Deisy Odett Mendoza
- Title
- Executive Director
- Phone
- (909) 912-9314
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1003068479
- Entity type
- Organization
- NPI issued
- 16 Oct 2008
- Record last updated
- 18 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.