Organization
REJUVENATE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESIKA CASEY (CFO)
(619) 295-9791
Entity
Organization
Contact information
Practice address
5030 CAMINO DE LA SIESTA STE 404, SAN DIEGO, CA 92108-3120
(619) 295-9791
(619) 297-6901
Mailing address
5030 CAMINO DE LA SIESTA STE 404, SAN DIEGO, CA 92108-3120
(619) 295-9791
(619) 297-6901
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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