RENEW INTEGRATED PROGRAM-2 INC.
NPI 1164869319
Community/Behavioral Health in Los Angeles, CA

Active since May 29, 2013
4324 W JEFFERSON BLVD, LOS ANGELES, CA 90016(562) 426-3300 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About RENEW INTEGRATED PROGRAM-2 INC.

This page provides the complete NPI Profile along with additional information for Renew Integrated Program-2 Inc., a provider established in Los Angeles, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1164869319 assigned on May 2013. The practitioner's primary taxonomy code is 251S00000X with license number A66124 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Laja I Ibraheem Md (Executive Director)

NPI
1164869319 Verify this NPI
Provider Name
RENEW INTEGRATED PROGRAM-2 INC.
Entity Type
Organization
Location Address
4324 W JEFFERSON BLVD LOS ANGELES, CA 90016
Location Phone
(562) 426-3300
Mailing Address
PO BOX 20140 LONG BEACH, CA 90801
Mailing Phone
(562) 426-3300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2013
Last Update Date
05-29-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
A66124
License State
CA
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LAJA I IBRAHEEM MD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(562) 426-3300

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
4324 W JEFFERSON BLVD, CRENSHAW SEA
LOS ANGELES, CA 90016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164869319, enumerated as an "organization" on May 29, 2013.

The provider is located at 4324 W JEFFERSON BLVD LOS ANGELES, CA 90016 and the phone number is (562) 426-3300.

Community/Behavioral Health with taxonomy code 251S00000X.