Dua, Renee

Dua, Renee is an sole proprietor health care provider with primary practice located at 8349 Reseda Blvd Ste G, Northridge CA 91324-4622. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Dua, Renee can be contacted via phone (818) 886-7300.

Contact Information

Primary practice address
8349 Reseda Blvd Ste G Northridge CA 91324-4622
Fax: (818) 886-8786
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A78217 California

Profile Details

NPI number 1154436707
LBN Legal business name Dua, Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Oct 27th, 2023 - about 2 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 1154436707 NPPES
California MEDICAID 00A782170

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