# RENAISSANCE SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013068642
- **Authorized official:** ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 2365 E FIR AVE, FRESNO, CA 93720-8016
- **Practice address phone:** (559) 797-9100
- **Practice address fax:** (559) 797-9103
- **Mailing address:** 2365 E FIR AVE, FRESNO, CA 93720-8016
- **Mailing address phone:** (559) 797-9100
- **Mailing address fax:** (559) 797-9103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 550000544 | CA | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 12/04/2024