Provider Demographics
NPI:1134454937
Name:KOERNER, RENA (CLD, CCCE, CHBE)
Entity type:Individual
Prefix:
First Name:RENA
Middle Name:
Last Name:KOERNER
Suffix:
Gender:F
Credentials:CLD, CCCE, CHBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5935 BELLFLOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-1059
Mailing Address - Country:US
Mailing Address - Phone:562-925-6948
Mailing Address - Fax:
Practice Address - Street 1:5935 BELLFLOWER BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-1059
Practice Address - Country:US
Practice Address - Phone:562-925-6948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula