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RENEW LIFE CENTER
NPI 1609004084
Clinic/Center in San Mateo, CA

Active since June 24, 2009
211 DE ANZA BLVD, SAN MATEO, CA 94402(650) 350-1700(650) 341-3604 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renew Life Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEW LIFE CENTER (NPI 1609004084) is a healthcare organization registered as a clinic/center in San Mateo, California and active in the NPI registry since June 2009. The organization lists Julieta Marimla Gabiola, President, as its authorized official.

NPPES Registry Identity

NPI1609004084
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRENEW LIFE CENTER
Location Address211 DE ANZA BLVDSan Mateo, CA 94402-3989
Mailing Address211 De Anza BlvdSan Mateo, CA 94402-3989 · (650) 350-1700 · Fax (650) 341-3604
Phone(650) 350-1700
Fax(650) 341-3604
Organization SubpartNo
Authorized OfficialJulieta Marimla GabiolaPresident · (650) 350-1700
Enumeration DateJune 24, 2009
Last NPPES UpdateMarch 7, 2023
✔ NPI 1609004084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · AG51233
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

211 DE ANZA BLVD, San Mateo, CA 94402
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Other Identifiers 1

OtherG51233CA · Medical Licence

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY LYNNE WYANT BOND HAIR BAR
Contractor
211 DE ANZA BLVD
SAN MATEO, CA 94402
San Mateo County (650) 376-3582

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renew Life Center's NPI number?

The NPI number for Renew Life Center is 1609004084. It was assigned to this organization in the NPPES registry on June 24, 2009.

Where is Renew Life Center located?

Renew Life Center is located at 211 De Anza Blvd, San Mateo, CA 94402. The listed phone number is (650) 350-1700.

What is Renew Life Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Renew Life Center was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.