OrganizationActive
Renew Integrated Program-2 Inc.
NPI 1689015653 · Community/Behavioral Health Agency · Los Angeles, CA
Provider details
- NPI number
- 1689015653
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Laja Ibraheem, Executive Director(562) 426-3300
- License
- A66124 (CA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 W Manchester Ave
Los Angeles, CA 90044-3430
Phone: (562) 426-3300
Fax: (562) 637-3244
Street-level locationGet directions
Mailing address
Po Box 20140
Long Beach, CA 90801-3140
Registry dates
- Enumerated
- 2013-07-08
- Last updated
- 2013-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.