Organization Active NPI

Idom Industries

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1174432389
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IDOM INDUSTRIES
Practice address
1605 W Olympic Blvd Ste 1047
Los Angeles, CA 90015-3876
Phone
(310) 686-8828
NPI assigned
Sep 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn Bunkley
Title
Asw
Phone
(213) 545-7154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1605 W Olympic Blvd Ste 1047
Los Angeles, CA 90015-3876

Mailing address

14026 Starflower CT
Eastvale, CA 92880-9076
Phone (310) 671-0023

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1174432389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14026 STARFLOWER CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809076",
            "telephone_number": "310-671-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 W OLYMPIC BLVD STE 1047",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153876",
            "telephone_number": "310-686-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDOM INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BUNKLEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "ASW",
        "authorized_official_telephone_number": "213-545-7154"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.