Healthcare Provider Details

I. General information

NPI: 1265057244
Provider Name (Legal Business Name): RENDE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 06/15/2020
Certification Date: 06/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 RALSTON AVE STE G
BELMONT CA
94002-2866
US

IV. Provider business mailing address

845 SAN PETRONIO AVE
SUNNYVALE CA
94085-3450
US

V. Phone/Fax

Practice location:
  • Phone: 415-527-8407
  • Fax:
Mailing address:
  • Phone: 415-527-8407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: YANNA ZHEN
Title or Position: OWNER
Credential:
Phone: 415-527-8407