| NPI | 1720970742 |
|---|---|
| Doing Business As | REJUVLA |
| Entity Type | Organization |
| Authorized Contact | ROBERT TRACY Medical Director 213-999-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |