Healthcare Provider Details

I. General information

NPI: 1922965524
Provider Name (Legal Business Name): BREAKTHROUGH MENTAL HEALTH NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3646 LONG BEACH BLVD STE 205
LONG BEACH CA
90807-6037
US

IV. Provider business mailing address

3646 LONG BEACH BLVD STE 205
LONG BEACH CA
90807-6037
US

V. Phone/Fax

Practice location:
  • Phone: 424-347-0362
  • Fax: 424-461-5013
Mailing address:
  • Phone: 424-347-0362
  • Fax: 424-461-5013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: IRINE NIUKE ACHUAMANG
Title or Position: PRESIDENT
Credential:
Phone: 310-220-7761