Organization
RENAISSANCE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JENNY BENAVIDES DO (MEDICAL ASSISTANT)
(310) 360-0280
Entity
Organization
Contact information
Practice address
8733 BEVERLY BLVD, #408, WEST HOLLYWOOD, CA 90048
(310) 360-0280
(310) 360-0955
Mailing address
8733 BEVERLY BLVD, #408, WEST HOLLYWOOD, CA 90048
(310) 360-0280
(310) 360-0955
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A3999
CA
Other
Enumeration date
05/01/2007
Last updated
04/08/2009
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