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

Grossman Medical Rejuvenation Inc

Organization Family Medicine Physician · NPI 1063260248

Grossman Medical Rejuvenation Inc is a Family Medicine Physician in Newport Beach, California. Registered with an NPI since 2024.

In the registry since
2024
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

4440 Von Karman Ave Ste 202
Newport Beach, CA 92660-2011
Phone: (877) 258-6331
Fax: (718) 362-1651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063260248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Grossman — Owner · (877) 258-6331
NPI enumeratedMay 11, 2024
Last updated in NPPESMay 11, 2024
Certification dateMay 11, 2024
Mailing address612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027

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