Organization
REJUVV, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA KOO M.D. (PRESIDENT)
(310) 980-8368
Entity
Organization
Contact information
Practice address
1101 N SEPULVEDA BLVD STE 202, MANHATTAN BEACH, CA 90266-5963
(310) 980-8368
Mailing address
18119 PRAIRIE AVE, TORRANCE, CA 90504-3739
(310) 980-8368
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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