Active NPI
Ian G Renner, M.D. Inc
- Gastroenterology Physician
- Los Angeles, CA
National Provider Identifier
1366639452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A34010
- Legal business name
- IAN G RENNER, M.D. INC
- Practice address
- 5901 W Olympic Blvd
Suite #300
Los Angeles, CA 90036-4667 - Phone
- (310) 556-7747
- Fax
- (310) 556-7757
- NPI assigned
- Oct 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ian G Renner, M.D.
- Title
- Owner
- Phone
- (310) 556-7747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A34010 | CA | Primary |
Addresses
Primary practice location
5901 W Olympic Blvd
Suite #300
Los Angeles, CA 90036-4667
Mailing address
5901 W Olympic Blvd
Suite #300
Los Angeles, CA 90036-4667
Phone (310) 556-7747
National Provider Directory
National Provider DirectoryLocations
10940 Trinity Pkwy
Ste C166
Stockton, CA 95219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1366639452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 W OLYMPIC BLVD",
"address_2": "SUITE #300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364667",
"telephone_number": "310-556-7747",
"fax_number": "310-556-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 W OLYMPIC BLVD",
"address_2": "SUITE #300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364667",
"telephone_number": "310-556-7747",
"fax_number": "310-556-7757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IAN G RENNER, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "RENNER",
"authorized_official_first_name": "IAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-556-7747",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A34010",
"primary": true
}
],
"identifiers": [],
"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 8, 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.