Renovari, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

52007 Issued in CA

Legal business name

RENOVARI, INC

Practice address

2950 E Imperial Hwy
Brea, CA 92821-6715

Phone

(714) 833-2472

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Michael Williams, LMFT

Title

Principle

Phone

(714) 833-2472

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1477912574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216715",
            "telephone_number": "714-833-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216715",
            "telephone_number": "714-833-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVARI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "714-833-2472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "52007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Brea, CA
• Providers in Brea, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.