Renewal Boutique

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RENEWAL BOUTIQUE

Practice address

24401 Health Center Dr Ste 202
Laguna Hills, CA 92653-3615

Phone

(949) 328-9026

Fax

(949) 328-9187

NPI assigned

Oct 15, 2024

Organization subpart

No

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

Authorized official

Name

Gary TolerNPI 1780866780

Title

Owner

Phone

(949) 533-3282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Gary Paul Toler

  • Durable Medical Equipment & Medical Supplies
  • Orange, CA
  • NPI 1780866780
  NPD Authorized official

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1720808686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24401 HEALTH CENTER DR STE 202",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533615",
            "telephone_number": "949-328-9026",
            "fax_number": "949-328-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24401 HEALTH CENTER DR STE 202",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533615",
            "telephone_number": "949-328-9026",
            "fax_number": "949-328-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-03-20",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "TOLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-533-3282"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Michele Reid
• Julia Reiter
• Alan Remele
• Melody Faith Remington
• Leslye Rendon
• Anahita Parsi Renner
• Ryan Lee Renner, BCBA
• Fabiana Ressel del Rio
• Karen L Reuss, M.D.
• Andrew Reville

• Durable Medical Equipment & Medical Supplies in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.