Organization
REJUVENEDA MEDICAL GROUP, INC
Active
Parent organization
REJUVENEDA MEDICAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REJUVENEDA MEDICAL GROUP, INC
Authorized official
DR. THOM E. LOBE MD (PRESIDENT)
(310) 935-4320
Entity
Organization
Contact information
Practice address
50 N LA CIENEGA BLVD, SUITE 215, BEVERLY HILLS, CA 90211-2227
(310) 935-4320
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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