Organization
BEVERLY HILLS REJUVENATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRICO J DIRIENZO SR. MD (MEDICAL DIRECTOR)
(310) 473-5800
Entity
Organization
Contact information
Practice address
1860 S SEPULVEDA BLVD, LOS ANGELES, CA 90025-4314
(310) 473-5800
(310) 473-5801
Mailing address
1860 S SEPULVEDA BLVD, LOS ANGELES, CA 90025-4314
(310) 473-5800
(310) 473-5801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G134479
CA
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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