REJUVA MEDICAL AESTHETICS INC. NPI 1730772955

NPI Information

REJUVA MEDICAL AESTHETICS, INC. is a plastic and reconstructive surgery surgery in Los Angeles, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. REJUVA MEDICAL AESTHETICS, INC. NPI is 1730772955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11645 WILSHIRE BLVD STE 605
LOS ANGELES, CA
ZIP 90025-842
Phone: (424) 644-2400
Fax: (424) 298-4175

The provider's authorized official is Kian Karimi .
The authorized official title is Owner/medical Director and has the following contact phone number (424) 644-2400.

The CLIA number assigned to this NPI record is 05D2176813 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2021 and was last updated on 2/18/2021.

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:

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