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:
Map and Directions
Authorized official contact:
Name: Dall, Tanya Doctor of Medicine (MD)
Phone: (949) 702-6736

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386353126 NPPES
California MEDICAID 1235592478

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