Individual
JEAN LOUIS LE RENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
153 GRANVILLE AVE, LOS ANGELES, CA 90049-4224
(310) 472-6750
(310) 471-9433
Mailing address
PO BOX 49841, LOS ANGELES, CA 90049-0841
(310) 472-6750
(310) 471-9433
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A24661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A246610
—
CA
Enumeration date
11/28/2006
Last updated
07/08/2007
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