Individual
DR. DAVID DALE RENAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 10TH ST., #200, SANTA MONICA, CA 90401
(310) 899-9793
(310) 576-7708
Mailing address
20280 S VERMONT AVE, STE 120, TORRANCE, CA 90502-1370
(310) 899-9793
(310) 576-7708
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A103161
CA
Other
Enumeration date
04/02/2008
Last updated
03/10/2017
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