| Rejuvenate Medical Group Inc | |
|
5030 Camino De La Siesta Ste 404 San Diego CA 92108-3120 | |
| (619) 295-9791 | |
| (619) 297-6901 |
| Full Name | Rejuvenate Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 5030 Camino De La Siesta Ste 404, San Diego, California |
| Authorized Official Name and Position | Jesika Casey (CFO) |
| Authorized Official Contact | 6192959791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenate Medical Group Inc 5030 Camino De La Siesta Ste 404 San Diego CA 92108-3120 Ph: (619) 295-9791 | Rejuvenate Medical Group Inc 5030 Camino De La Siesta Ste 404 San Diego CA 92108-3120 Ph: (619) 295-9791 |
| NPI Number | 1629626981 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 08/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629626981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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