Organization
GLAVINOVICH MEDICAL CORPORATION
Active
Other names
CALIFORNIA REGENERATIVE WOUND CARE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LUKE GLAVINOVICH (OWNER)
(949) 307-6210
Entity
Organization
Contact information
Practice address
456 PANORAMA DR, LAGUNA BEACH, CA 92651-1278
(213) 947-1850
Mailing address
3024 E CHAPMAN AVE, PMB 420, ORANGE, CA 92869-3706
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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