Organization · Type 2 NPI

Glendale Rejuvenation Medical Group

Non-Pharmacy Dispensing Site · Wilmington, CA

NPI number 1457011256 Active

Practice location

1703 N Avalon Blvd
Wilmington, CA 90744-1432

Mailing address

7230 Medical Center Dr Ste 405
West Hills, CA 91307-1940

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7 other providers at this address

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About NPI 1457011256

Glendale Rejuvenation Medical Group's National Provider Identifier is 1457011256, issued on Dec 21, 2021. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Wilmington, CA. The record was last updated on Dec 21, 2021.