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Organization
REJUVENATE SURGICAL CENTER, LLC
Active
Organization
REJUVENATE SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT DINH NGUYEN JD (OWNER)
(714) 594-8617
Entity
Organization
Contact information
Practice address
10212 WESTMINSTER AVE STE 102, GARDEN GROVE, CA 92843-4800
(714) 530-8905
Mailing address
10212 WESTMINSTER AVE STE 102, GARDEN GROVE, CA 92843-4800
(714) 530-8905
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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