| NPI | 1225636855 |
|---|---|
| Doing Business As | OPTIMUM REJUVENATION |
| Entity Type | Organization |
| Authorized Contact | SUNAO GILBERT Owner 949-363-3162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |