Individual
RENA KEYNIGSHTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3831 HUGHES AVE, SUITE 602, CULVER CITY, CA 90232-2751
(310) 204-6897
(310) 204-4690
Mailing address
3831 HUGHES AVE, SUITE 602, CULVER CITY, CA 90232-2751
(310) 856-9377
(310) 861-0265
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A89143
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285711937
MEDI-CAL
CA
05
—
1285711937
—
CA
Enumeration date
06/14/2006
Last updated
12/26/2013
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