Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadscope LLC

Organization Community/Behavioral Health Agency · NPI 1922251404

Broadscope LLC is a Community/Behavioral Health Agency in Grand Terrace, California. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12139 Mount Vernon Ave Ste 101
Grand Terrace, CA 92313-5519
Phone: (951) 440-2730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1922251404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meelynda Rayford — Coo · (951) 440-2730
NPI enumeratedOctober 29, 2008
Last updated in NPPESOctober 30, 2008
Mailing address12139 Mount Vernon Ave Ste 101, Grand Terrace, CA 92313-5519

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