Organization
JIE REN M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIE REN M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
2131 W 3RD ST, LOS ANGELES, CA 90057-1901
(213) 484-7111
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A97030
CA
Other
Enumeration date
04/07/2009
Last updated
10/22/2009
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