# RENEWED LIFE MEDICAL GROUP PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1760220842
- **Authorized official:** AMIE WEHUNT (BILLING ADMINISTRATOR)
- **Authorized official phone:** (530) 646-7237

## Contact information

- **Practice address:** 340 HARTNELL AVE STE A, REDDING, CA 96002-1873
- **Practice address phone:** (530) 806-0404
- **Practice address fax:** (888) 633-1441
- **Mailing address:** 340 HARTNELL AVE STE A, REDDING, CA 96002-1873
- **Mailing address phone:** (530) 806-0404
- **Mailing address fax:** (530) 255-8747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2024
- **Last updated:** 09/23/2026