Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM MAX NDEGWA RENNEBOHM, MD
DeactivatedWILLIAM MAX NDEGWA RENNEBOHM, MD is a Family Medicine healthcare provider located in SHERMAN OAKS, California. NPI 1104396241 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · SHERMAN OAKS, CA
This NPI has been deactivated.
The record was deactivated on November 13, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1104396241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2018 (0.94794520547945 yrs)
- Last Updated
- Feb 8, 2024
- Deactivated
- Nov 13, 2019
- Licenses
-
MD61317317 (WA)A189007 (CA)
Practice Information
- Address
-
15477 VENTURA BLVD STE 300SHERMAN OAKS, CA, 914033068Browse CA providers · Browse ZIP 91403
- Phone
- 1889070322
- Fax
- 1889070360
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SHERMAN OAKS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DONNA MARIE CASHDAN | DO | 1417957135 |
| DR. ROBERT JEFFREY SIMON | MD | 1457329492 |
| DR. ARASH DAVID MATIAN | D.O. | 1558300582 |
| MR. RICHARD TANZER | MD | 1407896434 |
| DR. GARY S SCHNEIDER | D.O. | 1346265782 |
| DR. LELAND EARL HILBURG | — | 1083632723 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.