Renew Integrated Program-2 Inc.

LBN: Renew Integrated Program-2 Inc.
Renew Integrated Program-2 Inc. is an health care organization with primary practice located at 14135 Fairgrove Ave , La Puente CA 91746-1708. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Renew Integrated Program-2 Inc. can be contacted via phone (562) 426-3300, or through Ibraheem, Laja I. via phone (562) 426-3300.

Contact Information

Primary practice address
14135 Fairgrove Ave La Puente CA 91746-1708
Phone: (562) 426-3300
Fax: (562) 637-3244
Website:
Map and Directions
Authorized official contact:
Name: Ibraheem, Laja I. Doctor of Medicine (MD)
Phone: (562) 426-3300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X A66124 California

Profile Details

NPI number 1033479993
LBN Legal business name Renew Integrated Program-2 Inc.
DBA Doing business as
Authorized official Ibraheem, Laja I. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2012
Last updated May 24th, 2012 - about 14 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 1033479993 NPPES
California MEDICAID 7205

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