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
NEWBLKWALSTREET
Active
Organization
NEWBLKWALSTREET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERMAINE HAGAN (OWNER)
(562) 305-9143
Entity
Organization
Contact information
Practice address
1052 E BRENNER DR, CARSON, CA 90746-2407
(562) 305-9143
Mailing address
1052 E BRENNER DR, CARSON, CA 90746-2407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/22/2025
Last updated
11/22/2025
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