# RENOVA SPECIALTY CARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235027293
- **Authorized official:** THOMAS JOKERST (AO)
- **Authorized official phone:** (615) 499-3165

## Contact information

- **Practice address:** 120 S SPALDING DR STE 300, BEVERLY HILLS, CA 90212-1837
- **Practice address phone:** (615) 499-3165
- **Mailing address:** 120 S SPALDING DR STE 300, BEVERLY HILLS, CA 90212-1837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2025
- **Last updated:** 08/28/2026