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

Rejuvenate Medical Group Inc

Organization General Practice Physician · NPI 1629626981

Rejuvenate Medical Group Inc is a General Practice Physician in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019
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

5030 Camino De La Siesta Ste 404
San Diego, CA 92108-3120
Phone: (619) 295-9791
Fax: (619) 297-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1629626981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesika Casey — Cfo · (619) 295-9791
NPI enumeratedAugust 29, 2019
Last updated in NPPESAugust 29, 2019
Mailing address5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120

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