# REJUVENATE SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295225001
- **Authorized official:** MR. VINCENT DINH NGUYEN JD (OWNER)
- **Authorized official phone:** (714) 594-8617

## Contact information

- **Practice address:** 10212 WESTMINSTER AVE STE 102, GARDEN GROVE, CA 92843-4800
- **Practice address phone:** (714) 530-8905
- **Mailing address:** 10212 WESTMINSTER AVE STE 102, GARDEN GROVE, CA 92843-4800
- **Mailing address phone:** (714) 530-8905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2018
- **Last updated:** 05/16/2018