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Organization
RENOVA HEALTH MEDICAL GROUP INC
Active
Organization
RENOVA HEALTH MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH AHOUBIM DO (PRESIDENT)
(951) 617-0179
Entity
Organization
Contact information
Practice address
1206 W AVENUE J STE 220B, LANCASTER, CA 93534-2914
(951) 617-0179
Mailing address
550 W RANCHO VISTA BLVD STE D, PALMDALE, CA 93551-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
08/12/2025
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