Individual
JEHUDA RENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18411 CLARK ST, SUITE 103, TARZANA, CA 91356-3506
(818) 559-3600
(818) 559-3699
Mailing address
18411 CLARK ST, SUITE 103, TARZANA, CA 91356-3506
(818) 559-3600
(818) 559-3699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A417380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A417380
—
CA
Enumeration date
02/07/2008
Last updated
12/08/2015
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