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Renew Life Center
Clinic/Center in San Mateo, California
NPI 1609004084

Renew Life Center is a Clinic/Center based in San Mateo, CA. Renew Life Center practices in San Mateo, CA. The NPI Number for Renew Life Center is 1609004084 and holds a License No. AG51233 (California).

The current practice location address for Renew Life Center is 211 De Anza Blvd, San Mateo, CA and can be reached out via phone at 650-350-1700 and via fax at 650-341-3604.

Location: 211 De Anza Blvd, San Mateo, CA, 94402-3989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609004084
Provider Name
Renew Life Center
Credential
Provider Entity Type
Organization
Address
211 De Anza Blvd, San Mateo, CA, 94402-3989
Phone Number
650-350-1700
Fax Number
650-341-3604
Provider Enumeration Date
06/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G51233 01 CA MEDICAL LICENCE
institution
Provider Business Practice Location Address Details
Address
211 De Anza Blvd
City
San Mateo
State
California
Zip
94402-3989
Phone Number
650-350-1700
Fax Number
650-341-3604
person
Provider Business Mailing Address Details
Address
211 De Anza Blvd
City
San Mateo
State
California
Zip
94402-3989
Phone Number
650-350-1700
Fax Number
650-341-3604
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
AG51233 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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