| Rejuvenation Surgicenter | |
|
17525 Ventura Blvd 101 Encino CA 91316-3843 | |
| (818) 783-5050 | |
| (818) 783-5059 |
| Full Name | Rejuvenation Surgicenter |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 17525 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Sid Kamrava (CEO) |
| Authorized Official Contact | 8187835050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenation Surgicenter 17525 Ventura Blvd 101 Encino CA 91316-3843 Ph: () - | Rejuvenation Surgicenter 17525 Ventura Blvd 101 Encino CA 91316-3843 Ph: (818) 783-5050 |
| NPI Number | 1770912370 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770912370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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