Organization
RENU DERMATOLOGY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNA NGUYEN (OFFICE MANAGER)
(714) 655-5710
Entity
Organization
Contact information
Practice address
1741 W ROMNEYA DR STE E, ANAHEIM, CA 92801-1805
(714) 655-5710
Mailing address
PO BOX 61657, IRVINE, CA 92602-6055
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
12/26/2019
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