Active NPI
Idom Industries
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
National Provider Identifier
1174432389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.