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Organization
RENEWED MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
RENEWED MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Renewed Mental Health and Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
MEDARD SISON (CEO)
(714) 361-0898
Entity
Organization
Contact information
Practice address
421 N BROOKHURST ST STE 128, ANAHEIM, CA 92801-5618
(714) 361-0898
(714) 276-2604
Mailing address
421 N BROOKHURST ST STE 128, ANAHEIM, CA 92801-5618
(714) 831-0821
(714) 276-2604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/03/2023
Last updated
02/26/2026
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