Renew Life Center

LBN: Renew Life Center
Renew Life Center is an health care organization with primary practice located at 211 De Anza Blvd , San Mateo CA 94402-3989. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Renew Life Center can be contacted via phone (650) 350-1700, or through Gabiola, Julieta Marimla via phone (650) 350-1700.

Contact Information

Primary practice address
211 De Anza Blvd San Mateo CA 94402-3989
Phone: (650) 350-1700
Fax: (650) 341-3604
Website:
Map and Directions
Authorized official contact:
Name: Gabiola, Julieta Marimla Doctor of Medicine (MD)
Phone: (650) 350-1700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X AG51233 California

Profile Details

NPI number 1609004084
LBN Legal business name Renew Life Center
DBA Doing business as
Authorized official Gabiola, Julieta Marimla Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2009
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609004084 NPPES
California Other G51233 MEDICAL LICENCE

Popular Providers