Organization Active NPI

Jean-Louis Le Renard, M.D. Inc.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1144402306
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A24661 Issued in CA
Legal business name
JEAN-LOUIS LE RENARD, M.D. INC.
Practice address
153 Granville Ave
Los Angeles, CA 90049-4224
Phone
(310) 472-6750
NPI assigned
Nov 29, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jean-Louis Le RenardNPI 1548336555
Title
President
Phone
(310) 472-6750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A24661 CA Primary

Addresses

Primary practice location

153 Granville Ave
Los Angeles, CA 90049-4224

Mailing address

PO Box 49841
Los Angeles, CA 90049-0841
Phone (310) 472-6750

Other identifiers 2

IdentifierTypeStateIssuer
00A246610MedicaidCA
W6530OtherMEDICARE GROUP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1144402306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49841",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900490841",
            "telephone_number": "310-472-6750",
            "fax_number": "310-471-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 GRANVILLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494224",
            "telephone_number": "310-472-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN-LOUIS LE RENARD, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "LE RENARD",
        "authorized_official_first_name": "JEAN-LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-472-6750",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A24661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A246610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "W6530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.