NPIMap

Organization Active NPI

Renew Integrated Program #2

  • Addiction (Substance Use Disorder) Counselor
  • Irwindale, CA
National Provider Identifier
1528292364
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
RENEW INTEGRATED PROGRAM #2
Practice address
5200 Irwindale Ave Ste 210
Irwindale, CA 91706-2014
Phone
(626) 960-3964
NPI assigned
May 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Mr. Laja Ibraheem, M.D.
Title
Ceo
Phone
(562) 426-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

5200 Irwindale Ave Ste 210
Irwindale, CA 91706-2014

Mailing address

5200 Irwindale Ave Ste 210
Irwindale, CA 91706-2014
Phone (626) 960-3964

National Provider Directory

National Provider Directory
Tax ID family
Renew Integrated Program-2 Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

5200 Irwindale Ave
Ste 210
Irwindale, CA 91706
Phone (626) 960-3964

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1528292364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 IRWINDALE AVE STE 210",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917062014",
            "telephone_number": "626-960-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 IRWINDALE AVE STE 210",
            "city": "IRWINDALE",
            "state": "CA",
            "postal_code": "917062014",
            "telephone_number": "626-960-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW INTEGRATED PROGRAM #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "IBRAHEEM",
        "authorized_official_first_name": "LAJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-426-3300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwindale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.