IBH CC LLC NPI 1891597027

NPI Information

  • NPI: 1891597027
  • Provider Name: IBH CC LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 5723 MELROSE AVE
    LOS ANGELES, CA
    ZIP 90038
  • Phone: (323) 990-8178

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NPI Details

IBH CC LLC is an adult mental health clinic center in Los Angeles, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. IBH CC LLC NPI is 1891597027. The provider is registered as an organization entity type.

The provider's business location address is:

5723 MELROSE AVE
LOS ANGELES, CA
ZIP 90038-890
Phone: (323) 990-8178
Fax: (714) 242-7434

The provider's authorized official is Brandi Jordan .
The authorized official title is Coo and has the following contact phone number (949) 678-6047.

The enumeration date for this NPI number is 3/26/2025 and was last updated on 3/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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