Individual ProviderAndrew RenInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4950 W Sunset Blvd, 6th Floor, Los Angeles, CA 90027-5822(323) 783-3810(626) 696-7994PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Ren is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1346475928Provider TypeIndividualFull NameRen, AndrewCredentialMDGenderMaleSole ProprietorYesEnumeration Date5/26/2009Last Updated11/2/2021Contact InformationPractice LocationPractice Address4950 W Sunset Blvd, 6th Floor, Los Angeles, CA 90027-5822Phone(323) 783-3810FaxUnlisted FaxMailing LocationMailing Address449 N Catalina Ave, Apt 204, Pasadena, CA 91106-1087Phone(626) 696-7994FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA106267California