Renaissance Cosmetic Surgery

LBN: W.Ray Henderson Md Inc
Renaissance Cosmetic Surgery is an health care organization with primary practice located at 73180 El Paseo , Palm Desert CA 92260-4218. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. W.Ray Henderson Md Inc can be contacted via phone (760) 346-3810, or through Henderson, Ray via phone (760) 346-3810.

Contact Information

Primary practice address
73180 El Paseo Palm Desert CA 92260-4218
Phone: (760) 346-3810
Fax: (760) 346-3083
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Ray Doctor of Medicine (MD)
Phone: (760) 346-3810

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X C24144 California

Profile Details

NPI number 1821291923
LBN Legal business name W.Ray Henderson Md Inc
DBA Doing business as Renaissance Cosmetic Surgery
Authorized official Henderson, Ray Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Nov 28th, 2011 - about 13 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 1821291923 NPPES
California Other 250030001824 ASC PROVIDER NUMBER

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