Individual
DR. SHAWN RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1945 GARNET AVE, SAN DIEGO, CA 92109-3595
(858) 224-7977
(858) 224-7978
Mailing address
6699 ALVARADO RD, STE 2100, SAN DIEGO, CA 92120-5238
(619) 229-3929
(619) 229-3902
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
294323
CA
Other
Enumeration date
01/24/2018
Last updated
10/08/2019
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