Renew Behavorial Health Inc

LBN: Renew Behavorial Health Inc
Renew Behavorial Health Inc is an health care organization with primary practice located at 4000 Long Beach Blvd Ste 228, Long Beach CA 90807-2617. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Renew Behavorial Health Inc can be contacted via phone (562) 637-3143, or through Ibraheem, Laja I via phone (562) 637-3143.

Contact Information

Primary practice address
4000 Long Beach Blvd Ste 228 Long Beach CA 90807-2617
Phone: (562) 637-3143
Fax: (562) 637-3244
Website:
Map and Directions
Authorized official contact:
Name: Ibraheem, Laja I Doctor of Medicine (MD)
Phone: (562) 637-3143

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A66124 California

Profile Details

NPI number 1033137724
LBN Legal business name Renew Behavorial Health Inc
DBA Doing business as
Authorized official Ibraheem, Laja I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033137724 NPPES
California MEDICAID 00A661240

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