| Rejuvv, P.c. | |
|
1101 N Sepulveda Blvd Ste 202 Manhattan Beach CA 90266-5963 | |
| (310) 980-8368 | |
| Not Available |
| Full Name | Rejuvv, P.c. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1101 N Sepulveda Blvd Ste 202, Manhattan Beach, California |
| Authorized Official Name and Position | Martha Koo (PRESIDENT) |
| Authorized Official Contact | 3109808368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvv, P.c. 18119 Prairie Ave Torrance CA 90504-3739 Ph: (310) 980-8368 | Rejuvv, P.c. 1101 N Sepulveda Blvd Ste 202 Manhattan Beach CA 90266-5963 Ph: (310) 980-8368 |
| NPI Number | 1992452551 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992452551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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