Organization
REJUVENIX MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO ALVAREZ (DIRECTOR)
(951) 653-5300
Entity
Organization
Contact information
Practice address
22635 ALESSANDRO BLVD, SUITE B, MORENO VALLEY, CA 92553-8550
(951) 653-5300
(951) 653-5346
Mailing address
22635 ALESSANDRO BLVD, SUITE B, MORENO VALLEY, CA 92553-8550
(951) 653-5300
(951) 653-5346
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
—
—
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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