Renaissance South la

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190796AN Issued in CA

Legal business name

RENAISSANCE SOUTH LA

Practice address

19401 S Vermont Ave
Suite C-100
Torrance, CA 90502-1029

Phone

(855) 700-7752

NPI assigned

Nov 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Henry R. Armstrong III, MBANPI 1255761516

Title

Executive Director

Phone

(323) 872-6352

Specialties & licenses 2

Addresses

Tax ID family

Renaissance South la2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renaissance South la, Inc.

  • Point of Service
  • Torrance, CA
  • NPI 1932583564
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Regnold Armstrong III, MBA, DBA

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
  • NPI 1255761516

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1649600834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 S VERMONT AVE",
            "address_2": "SUITE C-100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 S VERMONT AVE",
            "address_2": "SUITE C-100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021029",
            "telephone_number": "855-700-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SOUTH LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-872-6352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190796AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Valentine Reisinger, RD
• Fred Leland Reitler, MD
• Rejuvenation & Longevity MD
• Remi Ajiboye MD Inc.
• Katherine Elizabeth Remick, M.D.
• Renaissance South la, Inc.
• Hilary K Renaldy, MD
• Roberta I Rendon, D.C.
• Ryan Rendon, RN
• Renew Sports Rehab: Concierge Physical Therapy and Performance, Inc

• Substance Abuse Rehabilitation Facility in Torrance, CA
• Providers in Torrance, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.