Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renaissance Behavioral Medicine

Organization Psychiatry Physician · NPI 1750964722

Renaissance Behavioral Medicine is a Psychiatry Physician in Beverly Hills, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

8500 Wilshire Blvd Ste 520
Beverly Hills, CA 90211-3111
Phone: (213) 262-0888
Fax: (855) 347-9258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1750964722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Etefia — Psychiatrist · (650) 206-8932
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address8500 Wilshire Blvd Ste 520, Beverly Hills, CA 90211-3111

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