Healthcare Provider Details

I. General information

NPI: 1104780196
Provider Name (Legal Business Name): CENTER FOR INTEGRATED FAMILY AND HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13350 TRACY ST
BALDWIN PARK CA
91706-4716
US

IV. Provider business mailing address

536 S 2ND AVE STE D
COVINA CA
91723-3043
US

V. Phone/Fax

Practice location:
  • Phone: 626-966-1577
  • Fax: 626-331-4529
Mailing address:
  • Phone: 626-966-1577
  • Fax: 626-331-4529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. AJA LESH
Title or Position: CEO
Credential: PH.D.
Phone: 626-966-1577