| Renu Health Medical Group | |
|
1703 Termino Ave Ste 209 Long Beach CA 90804-2128 | |
| (562) 498-3002 | |
| Not Available |
| Full Name | Renu Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1703 Termino Ave Ste 209, Long Beach, California |
| Authorized Official Name and Position | Alexa Gozali (PRESIDENT) |
| Authorized Official Contact | 9492939360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renu Health Medical Group 28743 Jardineras Dr Valencia CA 91354-3097 | Renu Health Medical Group 1703 Termino Ave Ste 209 Long Beach CA 90804-2128 Ph: (562) 498-3002 |
| NPI Number | 1861261992 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 4183168867 |
|---|---|
| Medicare Enrollment ID | O20240705001498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861261992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Julie Ann Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437241635 PECOS PAC ID: 0941464697 Enrollment ID: I20120611000229 |
| Provider Name | Alexa E Gozali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407309594 PECOS PAC ID: 2264866722 Enrollment ID: I20191217001089 |
| Provider Name | Anastasia Buerger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437699774 PECOS PAC ID: 6507291291 Enrollment ID: I20200128000788 |
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