MEDICARE: BREAKTHROUGH MENTAL HEALTH NURSING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1922965524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BREAKTHROUGH MENTAL HEALTH NURSING INC

Provider Business Mailing Address
First Line	:	1727 246TH ST
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-1320
Country	:	US
Telephone Number	:	424-347-0362
Fax Number	:	424-349-3952

Provider Business Practice Location Address
First Line	:	1727 246TH ST
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-1320
Country	:	US
Telephone Number	:	424-347-0362
Fax Number	:	424-349-3952

Authorized Official
Title or Position	:	OWNER
Name	:	IRINE ACHUAMANG
Credential	:	NP
Telephone Number	:	424-347-0362

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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