Healthcare Provider Details

I. General information

NPI: 1447165691
Provider Name (Legal Business Name): INNOVATIVE HEALTH & HOUSING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 VALLEY VISTA DR
DIAMOND BAR CA
91765-3911
US

IV. Provider business mailing address

700 E BIRCH ST UNIT 131
BREA CA
92822-2007
US

V. Phone/Fax

Practice location:
  • Phone: 323-794-3855
  • Fax:
Mailing address:
  • Phone: 323-794-3855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. TALESHA PAYNE
Title or Position: CEO
Credential:
Phone: 323-794-3855