Individual
MS. ORIEL ASHLEY RENAULT NISSIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 W CARROLL AVE FL 1, GLENDORA, CA 91741-4208
(626) 963-4124
Mailing address
1041 W BADILLO ST STE 104, COVINA, CA 91722-4194
(626) 732-8319
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
83889
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
A177711
CA
Other
Enumeration date
05/06/2016
Last updated
04/21/2026
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