Glendale Rejuvenation Medical Group
Glendale Rejuvenation Medical Group is a Social Worker in Wilmington, California. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 8
Practice location Address checks out
1703 N Avalon BlvdWilmington, CA 90744-1432
Phone: (310) 233-9355
Fax: (310) 233-2545
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Specialties & licences
| Obesity Medicine (Family Medicine) Physician (primary) | Taxonomy 207QB0002X |
|---|---|
| Social Worker | Taxonomy 104100000X |
| Nutrition Chiropractor | Taxonomy 111NN1001X |
| Registered Dietitian | Taxonomy 133V00000X |
| Allergy & Immunology Physician | Taxonomy 207K00000X |
| Sports Medicine (Preventive Medicine) Physician | Taxonomy 2083S0010X |
| General Practice Physician | Taxonomy 208D00000X |
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1073960407 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eddie Santiago — Manager · (818) 610-9360 |
| Other names | Glendale Rejuvenation Medical Group; Glendale Rejuvenation Medical Group |
| NPI enumerated | May 16, 2016 |
| Last updated in NPPES | December 21, 2021 |
| Certification date | December 21, 2021 |
| Mailing address | 1703 N Avalon Blvd, Wilmington, CA 90744-1432 |
Other providers in Wilmington
-
Starship Medical Corporation
1703 N Avalon Blvd, Wilmington, CA 90744-1432 · (310) 233-9355