Organization Active NPI

Ian G Renner, M.D. Inc

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1366639452
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A34010 Issued in CA
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

Updated by the provider on Nov 8, 2007

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.