Organization
RENAISSANCE SOUTH LA, INC.
Active
Other names
Secure Care Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYRIC ARMSTRONG (CEO)
(213) 545-6353
Entity
Organization
Contact information
Practice address
19401 SOUTH VERMONT AVENUE, SUITE C100, TORRANCE, CA 90502-1029
(213) 545-6353
Mailing address
19401 SOUTH VERMONT AVENUE, SUITE C100, TORRANCE, CA 90502-1029
(213) 545-6353
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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