California Iop LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CALIFORNIA IOP LLC

Practice address

1402 W Pico Ave Ste A50
El Centro, CA 92243-1377

Phone

(866) 986-6217

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Danielle Bolduc

Title

Operations

Phone

(866) 986-6217

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1346089943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W PICO AVE STE A50",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W PICO AVE STE A50",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922431377",
            "telephone_number": "866-986-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA IOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BOLDUC",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "866-986-6217"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Kimberly Cabrera
• Roberto Paras Cabugao Jr., M.D.
• Denise Caccarile, BCBA
• Nirvana Andrea Calderon Reyes
• California Dermatology Institute PC
• California Orthopaedic Institute Medical Associates Inc
• Jose Angel Calles
• Travis H Calvin Jr., MD
• Abigail Camacho
• Claudia Camacho

• Adult Mental Health Clinic/Center in El Centro, CA
• Providers in El Centro, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.