Energy Wellness Rejuvenation INC
NPI #1396197026 in Laguna Beach, California
Provider Information
- NPI Number
- 1396197026
- Entity Type
- Organization
- Organization Name
- Energy Wellness Rejuvenation INC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jul 6, 2016
- Last Updated
- Jul 8, 2016
Practice Location
- Address
- 456 PANORAMA DR
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-1278
- Phone
- (949) 307-6210
Authorized Official
- Name
- DR. JOHN L GLAVINOVICH, MD
- Title
- PRESIDENT
- Phone
- (949) 307-6210
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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