Individual
CAMILLE RENEE RAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 CULVER BLVD STE A, CULVER CITY, CA 90232-3174
(310) 423-5555
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A195704
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2021
Last updated
08/26/2024
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