Renew Pc
LBN: Renew Pc
Renew Pc is an health care organization with primary practice located at 30230 Rancho Viejo Rd Ste 134 , San Juan Capistrano CA 92675-1585. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Renew Pc can be contacted via phone (949) 478-1411, or through Dall, Tanya via phone (949) 702-6736.
Contact Information
Primary practice address
30230 Rancho Viejo Rd Ste 134
San Juan Capistrano CA 92675-1585
Phone: (949) 478-1411
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X |
Profile Details
NPI number | 1386353126 |
---|---|
LBN Legal business name | Renew Pc |
DBA Doing business as | |
Authorized official | Dall, Tanya Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 21st, 2022 |
Last updated | Nov 21st, 2022 - about 2 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386353126 | NPPES |
California | MEDICAID | 1235592478 |
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