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GLENDALE REJUVENATION MEDICAL GROUP NPI 1073960407


NPI Information

NPI: 1073960407
Provider Name: GLENDALE REJUVENATION MEDICAL GROUP

Doing Business As: GLENDALE REJUVENATION MEDICAL GROUP

Classification: Family Medicine - 207QB0002X
Entity Type: Organization

Specialization: Obesity Medicine

Address:
1703 N AVALON BLVD
WILMINGTON, CA
ZIP 90744
Phone: (310) 233-9355
Get Directions

GLENDALE REJUVENATION MEDICAL GROUP is an obesity medicine family medicine in Wilmington, CA. The provider is a family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. GLENDALE REJUVENATION MEDICAL GROUP NPI is 1073960407. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Glendale Rejuvenation Medical Group.

The provider's business location address is:

1703 N AVALON BLVD
WILMINGTON, CA
ZIP 90744-432
Phone: (310) 233-9355
Fax: (310) 233-2545

The provider's authorized official is Eddie Santiago .
The authorized official title is Manager and has the following contact phone number (818) 610-9360.

The enumeration date for this NPI number is 5/16/2016 and was last updated on 12/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
2111NN1001XChiropractorNutritionNo
3133V00000XDietitian, RegisteredNo
4207K00000XAllergy & ImmunologyNo
52083S0010XPreventive MedicineSports MedicineNo
6208D00000XGeneral PracticeNo
7363A00000XPhysician AssistantNo
8207QB0002XFamily MedicineObesity MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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