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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 IBRAHEEM M.D. (CEO)
(562) 426-3300
Entity
Organization
Contact information
Practice address
755 ARDILLA AVE, LA PUENTE, CA 91746-2163
(626) 931-3000
Mailing address
4000 LONG BEACH BLVD., #228, LONG BEACH BLVD., CA 90807
(562) 426-3300
(562) 637-3244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/08/2009
Last updated
05/08/2009
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