Individual
ANDREA RENTERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11601 S WESTERN AVE, LOS ANGELES, CA 90047-5006
(323) 242-5000
Mailing address
11601 S WESTERN AVE, LOS ANGELES, CA 90047-5006
(323) 242-5000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
05/19/2023
Last updated
06/13/2023
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