Healthcare Provider Details

I. General information

NPI: 1154928075
Provider Name (Legal Business Name): I CUE MENTAL HEALTH, A NONPROFIT ORGANIZATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2020
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17215 STUDEBAKER RD STE 110
CERRITOS CA
90703-2521
US

IV. Provider business mailing address

17215 STUDEBAKER RD STE 110
CERRITOS CA
90703-2521
US

V. Phone/Fax

Practice location:
  • Phone: 562-716-6726
  • Fax: 562-735-3913
Mailing address:
  • Phone: 562-716-6726
  • Fax: 562-735-3913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAQIB IQBAL
Title or Position: CEO
Credential: LCSW
Phone: 562-716-6726