Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RENEW INTEGRATED PROGRAM-2 INC.
Active
Organization
RENEW INTEGRATED PROGRAM-2 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAJA I. IBRAHEEM MD (OWNER)
(562) 426-3300
Entity
Organization
Contact information
Practice address
751 VINELAND AVE, LA PUENTE, CA 91746-1914
(562) 426-3300
(562) 637-3244
Mailing address
4000 LONG BEACH BLVD, 228, LONG BEACH, CA 90807-2617
(562) 426-3300
(562) 637-3244
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A66124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7205
DRUG MEDI-CAL
CA
Enumeration date
05/21/2012
Last updated
05/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up