Healthcare Provider Details

I. General information

NPI: 1861100158
Provider Name (Legal Business Name): RENEW SURGERY CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 12/22/2022
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8218 GARFIELD AVE
BELL GARDENS CA
90201-6212
US

IV. Provider business mailing address

8218 GARFIELD AVE
BELL GARDENS CA
90201-6212
US

V. Phone/Fax

Practice location:
  • Phone: 310-986-5469
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT AZIZI
Title or Position: CEO
Credential: MD
Phone: 310-409-9059