Organization
GLENDALE REJUVENATION MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FEINBERG (ADMINISTRATOR)
(818) 430-6312
Entity
Organization
Contact information
Practice address
1703 N AVALON BLVD, WILMINGTON, CA 90744-1432
(818) 518-5980
Mailing address
7230 MEDICAL CENTER DR STE 405, WEST HILLS, CA 91307-1940
(818) 518-5980
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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