Organization
REJUVENATION DISTRIBUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE LOUDI (OWNER)
(916) 262-5979
Entity
Organization
Contact information
Practice address
1882 W EL NORTE PKWY STE C11&C12, ESCONDIDO, CA 92026-3378
(510) 910-1959
Mailing address
1882 W EL NORTE PKWY STE C11&C12, ESCONDIDO, CA 92026-3378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
07/25/2024
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