Organization
IAN G RENNER, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN G RENNER M.D. (OWNER)
(310) 556-7747
Entity
Organization
Contact information
Practice address
5901 W OLYMPIC BLVD, SUITE #300, LOS ANGELES, CA 90036-4667
(310) 556-7747
(310) 556-7757
Mailing address
5901 W OLYMPIC BLVD, SUITE #300, LOS ANGELES, CA 90036-4667
(310) 556-7747
(310) 556-7757
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A34010
CA
Other
Enumeration date
10/02/2007
Last updated
11/08/2007
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