# RENAISSANCE HEALTH SERVICES

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

## Provider details

- **NPI number:** 1407077217
- **Authorized official:** MR. JENNY BENAVIDES DO (MEDICAL ASSISTANT)
- **Authorized official phone:** (310) 360-0280

## Contact information

- **Practice address:** 8733 BEVERLY BLVD, \#408, WEST HOLLYWOOD, CA 90048
- **Practice address phone:** (310) 360-0280
- **Practice address fax:** (310) 360-0955
- **Mailing address:** 8733 BEVERLY BLVD, \#408, WEST HOLLYWOOD, CA 90048
- **Mailing address phone:** (310) 360-0280
- **Mailing address fax:** (310) 360-0955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 20A3999 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 04/08/2009