Individual
JASON REN NI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
757 WESTWOOD PLAZA, INTERVENTIONAL RADIOLOGY, LOS ANGELES, CA 90095-8358
(310) 267-8797
Mailing address
757 WESTWOOD PLAZA, INTERVENTIONAL RADIOLOGY, LOS ANGELES, CA 90095-8358
(310) 267-8797
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A192611
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A192611
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
03/20/2025
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