RENAISSANCE SURGERY CENTER LLC NPI 1013068642

NPI Information

NPI: 1013068642
Provider Name: RENAISSANCE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1067396

Address:
2365 E FIR AVE
FRESNO, CA
ZIP 93720
Phone: (559) 797-9100
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RENAISSANCE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Fresno, CA. RENAISSANCE SURGERY CENTER, LLC NPI is 1013068642. The provider is registered as an organization entity type.

The provider's business location address is:

2365 E FIR AVE
FRESNO, CA
ZIP 93720-016
Phone: (559) 797-9100
Fax: (559) 797-9103

The provider's authorized official is Jenetha D Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.

The CLIA number assigned to this NPI record is 05D1067396 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 9/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	550000544	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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