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

Socal Innovative Behavioral Health LLC

Organization Community/Behavioral Health Agency · NPI 1760146583

Socal Innovative Behavioral Health LLC is a Community/Behavioral Health Agency in Pasadena, California. Registered with an NPI since 2021.

In the registry since
2021
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

104 S Roosevelt Ave
Pasadena, CA 91107-4126
Phone: (310) 927-3060
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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 number1760146583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Grandpre — Owner · (310) 927-3060
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address104 S Roosevelt Ave, Pasadena, CA 91107-4126

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