Individual
DR. RENE R. S. PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ, RONALD REAGAN UCLA MEDICAL CENTER, LOS ANGELES, CA 90095-8358
(310) 206-6286
Mailing address
10449 ASHTON AVE, UNIT 103, LOS ANGELES, CA 90024-5184
(617) 671-9018
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A118124
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2009
Last updated
06/21/2016
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