Organization
THRIVE REJUVENATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YONATAN MAHLLER MD, PHD (CEO)
(949) 430-2828
Entity
Organization
Contact information
Practice address
355 PLACENTIA AVE STE 307, NEWPORT BEACH, CA 92663-3303
(949) 430-2828
Mailing address
355 PLACENTIA AVE STE 307, NEWPORT BEACH, CA 92663-3303
(949) 430-2828
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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