| Doctor Name: | RENA KEYNIGSHTEYN |
| NPI Number: | 1316980535 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A89143 |
| Business Practice Address: | 3831 Hughes Ave Suite 602 Culver City, CA - 902322751 |
| Business Phone Number: | 3102046897 |
| Business Fax Number: | 3102044690 |
| Mailing Address: | 3831 Hughes Ave, Suite 602 CULVER CITY |
| State: | CA |
| Postal Code: | 902322751 |
| Phone Number: | 3108569377 |
| Fax Number: | 3108610265 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 12/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A89143 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |