| NPI | 1821599804 |
|---|---|
| Doing Business As | REJUVENATE WELLNESS AND HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | REBECA E CUATRO Vice President And Secretary, 323-507-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22666) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A11851) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |