Healthcare Provider Details

I. General information

NPI: 1750009320
Provider Name (Legal Business Name): GLOBAL INTEGRATED MEDICAL & BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2022
Last Update Date: 08/18/2022
Certification Date: 08/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 AVOCADO AVE STE 205
PERRIS CA
92571-2605
US

IV. Provider business mailing address

126 AVOCADO AVE STE 205
PERRIS CA
92571-2605
US

V. Phone/Fax

Practice location:
  • Phone: 323-334-6852
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. UCHENNA ORJI
Title or Position: NP
Credential: DNP
Phone: 323-334-6852