RENEW INTEGRATED PROGRAM-2 INCORPORATION
NPI 1891997847
Clinic/Center - Rehabilitation, Substance Use Disorder in San Pedro, CA
Active since June 01, 2007
928 SOUTH PALOS VERDES STREET, SAN PEDRO, CA 90731(562) 426-3300(562) 637-3244 Get Directions Write a Review
About Renew Integrated Program-2 Incorporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEW INTEGRATED PROGRAM-2 INCORPORATION (NPI 1891997847) is a healthcare organization registered as a rehabilitation, substance use disorder in San Pedro, California and active in the NPI registry since June 2007. The organization lists Laja I Ibraheem, Owner, as its authorized official.
NPPES Registry Identity
NPI1891997847
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameRENEW INTEGRATED PROGRAM-2 INCORPORATION
Location Address928 SOUTH PALOS VERDES STREETSan Pedro, CA 90731
Mailing AddressPo Box 20140Long Beach, CA 90801-3140 · (562) 426-3300 · Fax (562) 637-3244
Phone(562) 426-3300
Fax(562) 637-3244
Organization SubpartNo
Authorized OfficialLaja I IbraheemOwner · (562) 426-3300
Enumeration DateJune 1, 2007
Last NPPES UpdateApril 19, 2010
✔ NPI 1891997847 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in CA · 190484BP
928 SOUTH PALOS VERDES STREET, San Pedro, CA 90731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891997847, enumerated as an "organization" on June 01, 2007.
The provider is located at 928 SOUTH PALOS VERDES STREET SAN PEDRO, CA 90731 and the phone number is (562) 426-3300.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
