Glendale Rejuvenation Medical Group
NPI #1457011256 in Wilmington, California
Provider Information
- NPI Number
- 1457011256
- Entity Type
- Organization
- Organization Name
- Glendale Rejuvenation Medical Group
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 21, 2021
- Last Updated
- Dec 21, 2021
Practice Location
- Address
- 1703 N AVALON BLVD
- City
- Wilmington
- State
- California
- ZIP Code
- 90744-1432
- Phone
- (818) 518-5980
Authorized Official
- Name
- JEFFREY FEINBERG
- Title
- ADMINISTRATOR
- Phone
- (818) 430-6312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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