Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Energy Wellness Rejuvenation Inc

Organization Emergency Medicine Physician · NPI 1396197026

Energy Wellness Rejuvenation Inc is an Emergency Medicine Physician in Laguna Beach, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

456 Panorama Dr
Laguna Beach, CA 92651-1278
Phone: (949) 307-6210
Fax: (949) 497-4225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence G31910 (CA)

Record details

NPI number1396197026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Glavinovich — President · (949) 307-6210
NPI enumeratedJuly 6, 2016
Last updated in NPPESJuly 8, 2016
Mailing address456 Panorama Dr, Laguna Beach, CA 92651-1278

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