Innovative Research Consulting LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

C39123 Issued in CA

Legal business name

INNOVATIVE RESEARCH CONSULTING LLC

Doing business as

Southbay Pharma Research

Practice address

6850 Lincoln Ave
Suite 105
Buena Park, CA 90620-4178

Phone

(714) 827-1899

Fax

(714) 827-1999

NPI assigned

Oct 31, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Karen Hybridge, BA/BSN

Title

Administrator

Phone

(714) 827-1899

Specialties & licenses 1

Addresses

Other names 1

• Southbay Pharma Research Doing business as

Locations

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1902150709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LINCOLN AVE",
            "address_2": "SUITE 105",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204178",
            "telephone_number": "714-827-1899",
            "fax_number": "714-827-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LINCOLN AVE",
            "address_2": "SUITE 105",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204178",
            "telephone_number": "714-827-1899",
            "fax_number": "714-827-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE RESEARCH CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "HYBRIDGE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-827-1899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA/BSN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "C39123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southbay Pharma Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soo Hyuck Im, O.M.D.
• Marina Imanaka
• Inhwa Acupuncturist,Inc
• Innovation Physical Therapy and Rehab Center, Inc.
• Innovative Behavior Interventions
• Insoo Kim DDS Inc (beautiful smile dental care)
• Integna Home Health, LLC.
• Integrated Community Healthcare Solutions (Buena Park Community Clinic - BP)
• Intergrated Community Healthcare Solutions (Ichs)
• Vebronia Iskander

• Clinic/Center in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.