Renu Dermatology and Wellness

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RENU DERMATOLOGY AND WELLNESS

Practice address

1741 W Romneya Dr Ste E
Anaheim, CA 92801-1805

Phone

(714) 655-5710

NPI assigned

Oct 16, 2017

Last updated

Dec 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyna Nguyen

Title

Office Manager

Phone

(714) 655-5710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Bella Skin & Wellness Inc

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1154076214

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Long Hoang, PA-C

  • Medical Physician Assistant
  • Pomona, CA
  • NPI 1477924132
  Medicare reassignment Care Compare group NPD
• Daniel Duy Nguyen, MD

  • Dermatology Physician
  • Anaheim, CA
  • NPI 1366504250
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1740791946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61657",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 W ROMNEYA DR STE E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011805",
            "telephone_number": "714-655-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENU DERMATOLOGY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TYNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-655-5710"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renewed Medical Group, a Professional Medical Corporation (Renewed Mental Health and Wellness Group)
• Christopher Renfro
• Lauren Reniker
• Lowell Carl Renold II, PH.D.
• Sonia Renteria
• Repair Sports Institute
• Oleg D Repkine
• Cole Reschke, D.C.
• Cynthia Ann Resendez
• Ashley Ruby Resendiz

• Dermatology Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.