Renner, Andrew Ihor

Renner, Andrew Ihor is an individual health care provider with primary practice located at 2701 W Alameda Ave Suite 300, Burbank CA 91505-4402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Renner, Andrew Ihor can be contacted via phone (818) 843-1497.

Contact Information

Primary practice address
2701 W Alameda Ave Suite 300 Burbank CA 91505-4402
Fax: (818) 843-5283
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G42417 California

Profile Details

NPI number 1275511032
LBN Legal business name Renner, Andrew Ihor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275511032 NPPES
California MEDICAID 00G424170

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