Healthcare Provider Details

I. General information

NPI: 1871969352
Provider Name (Legal Business Name): RENEW HEALTHCARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2015
Last Update Date: 08/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 S FIGUEROA ST # 3340C
LOS ANGELES CA
90017-2543
US

IV. Provider business mailing address

865 S FIGUEROA ST # 3340C
LOS ANGELES CA
90017-2543
US

V. Phone/Fax

Practice location:
  • Phone: 888-808-4808
  • Fax: 888-808-4650
Mailing address:
  • Phone: 888-808-4808
  • Fax: 888-808-4650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JERRY LEE
Title or Position: CEO
Credential: D C
Phone: 888-808-4808