RENEW INTEGRATED PROGRAM-2 INCORPORATION; NPI #1891997847

Contact Information

RENEW INTEGRATED PROGRAM-2 INCORPORATION

928 SOUTH PALOS VERDES STREET
SAN PEDRO, CA 90731

Phone: 562-426-3300
Fax: 562-637-3244
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation, Substance Use Disorder	261QR0405X

Indicates primary specialty

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NPI Profile & details for RENEW INTEGRATED PROGRAM-2 INCORPORATION

NPI # 1891997847

LBN Legal business name RENEW INTEGRATED PROGRAM-2 INCORPORATION

Authorized official LAJA IBRAHEEM - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/01/2007

Last updated 04/19/2010 - About 16 years ago

Identifiers

License #

190484BP

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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RENEW INTEGRATED PROGRAM-2 INCORPORATION

Contact Information

Specialty

Rehabilitation, Substance Use Disorder

NPI Profile & details for RENEW INTEGRATED PROGRAM-2 INCORPORATION

Reviews for RENEW INTEGRATED PROGRAM-2 INCORPORATION