Organization · Type 2 NPI
Renew Life Center
Clinic/Center · San Mateo, CA
NPI number
1609004084
Active
Practice location
211 De Anza Blvd
San Mateo, CA 94402-3989
Fax (650) 341-3604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | AG51233 (CA) |
Clinic/Center: 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).
Another provider at this address
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About NPI 1609004084
Renew Life Center's National Provider Identifier is 1609004084, issued on Jun 24, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Mateo, CA. The record was last updated on Mar 7, 2023.