Healthcare Provider Details

I. General information

NPI: 1124903281
Provider Name (Legal Business Name): PETERS BEHAVIOURAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10472 HOPLAND ST
BELLFLOWER CA
90706-4125
US

IV. Provider business mailing address

10472 HOPLAND ST
BELLFLOWER CA
90706-4125
US

V. Phone/Fax

Practice location:
  • Phone: 562-682-3858
  • Fax:
Mailing address:
  • Phone: 562-682-3858
  • Fax:

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: PAUL IRUMUNDOMON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 562-682-3858