RENEW INTEGRATED PROGRAM-2 INC. (NPI# 1164869319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164869319 |
| Entity Type | Organization |
| Organization Name | RENEW INTEGRATED PROGRAM-2 INC. |
| Practice Address |
4324 W Jefferson Blvd Los Angeles CA 90016-4115 |
| Mailing Address |
Po Box 20140 Long Beach CA 90801-3140 |
| Practice Telephone | 5624263300 |
| Mailing Telephone | 5624263300 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| 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 |
|---|---|---|---|---|
| 1962843938 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 6103 Crenshaw Blvd, Los Angeles, CA 90043-3946 | 2013-07-08 |
| 1518304765 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 4205 E Alondra Blvd, Compton, CA 90221-4234 | 2013-05-29 |
| 1689015653 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 1100 W Manchester Ave, Los Angeles, CA 90044-3430 | 2013-07-08 |
| 1033479993 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 14135 Fairgrove Ave, La Puente, CA 91746-1708 | 2012-05-24 |
| 1083974364 | Renew Integrated Program-2 Inc. | Community/Behavioral Health | 751 Vineland Ave, La Puente, CA 91746-1914 | 2012-05-21 |
| Street Address |
4324 W JEFFERSON BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90016-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326266180 | Atlantic Recovery Services | Community/Behavioral Health | 4324 W Jefferson Blvd, Crenshaw Sea, Los Angeles, CA 90016-4115 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334134 | Rodef & Yousefi Dental Corporation | Dentist | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
| 1891278016 | Harold Ringgold Jr. | Counselor | 5220 Washington Ste 101 &104, Los Angeles, CA 90016 | 2018-09-13 |
| 1477085330 | Nyul Aegd | Student in an Organized Health Care Education/Training Program | 3743 S Labrea Avenue, Los Angeles, CA 90016 | 2017-03-30 |
| 1770978876 | Alexander Delacruz Jr. | Nutritionist | 2336 Crenshaw Blvd, Suite 101, Los Angeles, CA 90016 | 2015-04-06 |
| 1518358670 | Henry Bratton | Counselor | 2017 Westview Street, Los Angeles, CA 90016 | 2015-02-11 |
| 1063819084 | Karina Ann Chandler-ziegler | Counselor | 5220 Washington Street, Ste. 101, Los Angeles, CA 90016 | 2014-11-20 |
| 1801299136 | Smith Medical Management | Clinical Medical Laboratory | 2953 Palm Grove Ave, Los Angeles, CA 90016 | 2014-10-01 |
| 1366844144 | No Dorm Inc. | Assisted Living Facility | 5222 Washington Blvd., Los Angeles, CA 90016 | 2014-09-23 |
| 1891120853 | Margaret Yarbrough | General Practice | 3717 S. Labrea, #341, Los Angeles, CA 90016 | 2013-09-10 |
| 1821422346 | Circle of Help Foundation | Community/Behavioral Health | 4701 Rodeo Rd., Room #2, #3, Los Angeles, CA 90016 | 2013-09-03 |
| Find all providers in zip 90016 | ||||
| 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 | 90016 |
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| 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.