| Glendale Rejuvenation Medical Group | |
|
1703 N Avalon Blvd Wilmington CA 90744-1432 | |
| (310) 233-9355 | |
| (310) 233-2545 |
| Full Name | Glendale Rejuvenation Medical Group |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 1703 N Avalon Blvd, Wilmington, California |
| Authorized Official Name and Position | Eddie Santiago (MANAGER) |
| Authorized Official Contact | 8186109360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Rejuvenation Medical Group 1703 N Avalon Blvd Wilmington CA 90744-1432 Ph: (818) 518-5980 | Glendale Rejuvenation Medical Group 1703 N Avalon Blvd Wilmington CA 90744-1432 Ph: (310) 233-9355 |
| NPI Number | 1073960407 |
|---|---|
| Provider Enumeration Date | 05/16/2016 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073960407 | NPI | - | NPPES |
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