# AVENTUS MEDICAL GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Aventus Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205205770
- **Authorized official:** MRS. EDROSE RETODO N.P. (CEO)
- **Authorized official phone:** (669) 342-7711

## Contact information

- **Practice address:** 12 S 1ST ST STE 811, SAN JOSE, CA 95113-2405
- **Practice address phone:** (669) 342-7711
- **Practice address fax:** (669) 342-7717
- **Mailing address:** 12 S 1ST ST STE 811, SAN JOSE, CA 95113-2405
- **Mailing address phone:** (669) 342-7711
- **Mailing address fax:** (669) 342-7717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 09/15/2015