Individual
JAY RENNEISEN
Active
Individual
JAY RENNEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED ATTORNEY
Taxonomy
Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary
173531
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173531
STATE BAR OF CALIFORNIA
CA
Enumeration date
03/21/2025
Last updated
03/21/2025
Update your record
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