RENEW INTEGRATED PROGRAM-2 INC (NPI# 1730520701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730520701 |
| Entity Type | Organization |
| Organization Name | RENEW INTEGRATED PROGRAM-2 INC |
| Practice Address |
3801 S Broadway Los Angeles CA 90037 |
| 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 | 2013-08-16 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1215378286 | Renew Integrated Program-2 Inc | Community/Behavioral Health | 715 Brady Ave, Los Angeles, CA 90022-3603 | 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 |
3801 S BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| 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 | 90037 |
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.