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

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XAG51233 (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).

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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.