Organization
JEAN-LOUIS LE RENARD, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN-LOUIS LE RENARD (PRESIDENT)
(310) 472-6750
Entity
Organization
Contact information
Practice address
153 GRANVILLE AVE, LOS ANGELES, CA 90049-4224
(310) 472-6750
Mailing address
PO BOX 49841, LOS ANGELES, CA 90049-0841
(310) 472-6750
(310) 471-9433
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A24661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A246610
—
CA
01
—
W6530
MEDICARE GROUP
—
Enumeration date
11/29/2007
Last updated
11/29/2007
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