REVIVE REJUVENATION CENTER ANTI AGING REGENERATIVE CENTER INC

LA JOLLA, CA
NPI1588166094
Entity TypeOrganization
Authorized ContactMICHELLE GUTIERREZ
Credentialing Specialist
619-501-6278
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2018-03-01
Last Update Date2018-03-21
Business Address
REVIVE REJUVENATION CENTER ANTI AGING REGENERATIVE CENTER INC
7509 DRAPER AVE STE A
LA JOLLA, CA 92037-4857
Phone number: 858-352-6200
Mailing Address
REVIVE REJUVENATION CENTER ANTI AGING REGENERATIVE CENTER INC
7509 DRAPER AVE
LA JOLLA, CA 92037-4862
Phone number: 858-352-6200
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