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Organization
BEVERLY HILLS REJUVENATION MEDICAL ASSOCIATES, INC.
Active
Organization
BEVERLY HILLS REJUVENATION MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HAYNES (VP, OPERATIONS)
(310) 473-5800
Entity
Organization
Contact information
Practice address
1860 S SEPULVEDA BLVD, LOS ANGELES, CA 90025-4314
(310) 473-5800
Mailing address
1860 S SEPULVEDA BLVD, LOS ANGELES, CA 90025-4314
(310) 473-5800
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/21/2021
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