Organization Active NPI

Renuance Cosmetic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Murrieta, CA
National Provider Identifier
1295542207
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RENUANCE COSMETIC SURGERY CENTER
Practice address
24687 Monroe Ave
Murrieta, CA 92562-9591
Phone
(951) 506-1040
Fax
(951) 506-1044
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elena Serda
Title
Director
Phone
(951) 506-1040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

24687 Monroe Ave
Murrieta, CA 92562-9591

Mailing address

24687 Monroe Ave
Murrieta, CA 92562-9591
Phone (951) 506-1040

National Provider Directory

National Provider Directory

Locations

24687 Monroe Ave
Murrieta, CA 92562
Phone (951) 309-7794

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1295542207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24687 MONROE AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629591",
            "telephone_number": "951-506-1040",
            "fax_number": "951-506-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24687 MONROE AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629591",
            "telephone_number": "951-506-1040",
            "fax_number": "951-506-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUANCE COSMETIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SERDA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-506-1040"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.