National Provider Identifier Database

RENEW INTEGRATED PROGRAM 2 INCORPORATION
Rehabilitation, Substance Use Disorder


Contact Information

RENEW INTEGRATED PROGRAM-2 INCORPORATION
928 SOUTH PALOS VERDES STREET
SAN PEDRO, CA90731
Phone: 562-426-3300
Fax: 562-637-3244
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for RENEW INTEGRATED PROGRAM-2 INCORPORATION

NPI Number 1891997847
Legal business name
LBN
RENEW INTEGRATED PROGRAM-2 INCORPORATION
Authorized official LAJA IBRAHEEM - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/01/2007
Last updated 04/19/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 190484BP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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