RENEW INTEGRATED PROGRAM-2 INC (NPI# 1215378286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215378286 |
| Entity Type | Organization |
| Organization Name | RENEW INTEGRATED PROGRAM-2 INC |
| Practice Address |
715 Brady Ave Los Angeles CA 90022-3603 |
| Mailing Address |
Po Box 20140 Long Beach CA 90801-3140 |
| Practice Telephone | 5624263300 |
| Practice Fax Number | 5626373244 |
| Mailing Telephone | 5624263300 |
| Mailing Fax Number | 5626373244 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Authorized Official Name | DR. LAJA I IBRAHEEM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5624263300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | A66124 | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730520701 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 3801 S Broadway, Los Angeles, CA 90037 | 2013-07-08 |
| 1659710002 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 4822 Gleason St, Los Angeles, CA 90022-1680 | 2013-06-19 |
| 1790124121 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 5306 Figueroa Ave., Huntington Park, CA 90042-4004 | 2013-06-19 |
| 1922449990 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 581 Claremont Pl, Pomona, CA 91767-4904 | 2013-07-08 |
| 1760823736 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 8767 Parthenia Pl, North Hills, CA 91343-5115 | 2013-07-08 |
| 1841631819 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 13456 Van Nuys Blvd, Pacoima, CA 91331-3057 | 2013-07-08 |
| 1225479298 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 2290 Pacific Ave, Long Beach, CA 90806-4312 | 2013-07-08 |
| 1952742926 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 495 E Market St, Long Beach, CA 90805-5913 | 2013-07-08 |
| 1366883332 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 9722 San Antonio Ave, South Gate, CA 90280-4620 | 2013-07-08 |
| 1205277274 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 11859 Firestone Blvd, Norwalk, CA 90650-2902 | 2013-07-08 |
| Street Address |
715 BRADY AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90022-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902024607 | Atlantic Recovery Services | Community/Behavioral Health | 715 Brady Ave, Montebello Sea, Los Angeles, CA 90022-3603 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1841807666 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 10101 S Broadway, Los Angeles, CA 90003-4534 | 2020-09-25 |
| 1730795188 | Connect Therapies | Community/Behavioral Health | 801 S Beverly Glen Blvd, Los Angeles, CA 90024-4603 | 2020-09-21 |
| 1396358735 | United Therapy Center,inc | Community/Behavioral Health | 12777 W Jefferson Blvd # D3020, Los Angeles, CA 90066-7048 | 2020-08-25 |
| 1174149769 | Amanecer Community Counseling Service, A Non-profit Corporation | Community/Behavioral Health | 3750 W 6th St, Los Angeles, CA 90020-5100 | 2020-06-19 |
| 1902421290 | Exceptional Wellness of California Incorporated | Community/Behavioral Health | 626 Wilshire Blvd Ste 410, Los Angeles, CA 90017-2915 | 2020-06-11 |
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780226977 | Children's Institute, Inc. | Community/Behavioral Health | 7001 S St Andrews Pl, Los Angeles, CA 90047-1833 | 2019-10-09 |
| 1780238675 | Igcn Healthcare Partners | Community/Behavioral Health | 6153 Colgate Ave, Los Angeles, CA 90036-3127 | 2019-07-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90022 |
Please comment or provide details below to improve the information on RENEW INTEGRATED PROGRAM-2 INC.
| 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.