Renaissance South la, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

RENAISSANCE SOUTH LA, INC.

Doing business as

Secure Care Medical Clinic

Practice address

19401 South Vermont Avenue, Suite C100
Torrance, CA 90502-1029

Phone

(213) 545-6353

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Lyric Armstrong

Title

Ceo

Phone

(213) 545-6353

Specialties & licenses 1

Addresses

Other names 1

• Secure Care Medical Clinic Doing business as

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

  • Substance Abuse Rehabilitation Facility
  • Torrance, CA
  • NPI 1649600834
  NPD tax ID

Locations

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1932583564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 SOUTH VERMONT AVENUE, SUITE C100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021029",
            "telephone_number": "213-545-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 SOUTH VERMONT AVENUE, SUITE C100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021029",
            "telephone_number": "213-545-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SOUTH LA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "LYRIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-545-6353",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secure Care Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Point of Service in Torrance, CA
• Providers in Torrance, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.