Healthcare Provider Details

I. General information

NPI: 1851200406
Provider Name (Legal Business Name): RENEW HEALTHCARE SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 N TUSTIN AVE STE 100
SANTA ANA CA
92705-3606
US

IV. Provider business mailing address

720 N TUSTIN AVE STE 100
SANTA ANA CA
92705-3606
US

V. Phone/Fax

Practice location:
  • Phone: 714-973-8777
  • Fax: 714-973-8778
Mailing address:
  • Phone: 714-973-8777
  • Fax: 714-973-8778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. LORIEDY ALDEGUER
Title or Position: PRACTICE DIRECTOR
Credential:
Phone: 310-528-8638