REJUVENEDA MEDICAL GROUP, INC (NPI# 1316209877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316209877 |
| Entity Type | Organization |
| Organization Name | REJUVENEDA MEDICAL GROUP, INC |
| Practice Address |
50 N La Cienega Blvd Suite 215 Beverly Hills CA 90211-2227 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 3109354320 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | DR. THOM E. LOBE (PRESIDENT) |
| Authorized Official Telephone | 3109354320 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REJUVENEDA MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | REJUVENEDA MEDICAL GROUP, INC. | 1 E Delaware Pl Ste 306, Chicago, IL 60611-4962 |
| Street Address |
50 N LA CIENEGA BLVD SUITE 215 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336127257 | Rashin Nouranifar Simoni | Dentist | 50 N La Cienega Blvd, Suit 150, Beverly Hills, CA 90211-2227 | 2006-01-03 |
| 1215594379 | Pain Management and Aesthetic Surgery Center In Beverly Hills | Clinic/Center | 50 N La Cienega Blvd, Beverly Hills, CA 90211-2227 | 2019-05-23 |
| 1942713482 | Beverly Hills Medical Imaging | Nuclear Medicine | 50 N La Cienega Blvd, Suite 100, Beverly Hills, CA 90211 | 2017-11-07 |
| 1881053809 | Amanuel Sima Md A Medical Corporation | Pharmacy | 50 N La Cienega Blvd, Suite 220, Beverly Hills, CA 90211-2227 | 2016-02-18 |
| 1346636560 | David Abri Dds Inc | Dentist | 50 N La Cienega Blvd, Suite 217, Beverly Hills, CA 90211-2227 | 2015-04-14 |
| 1639560501 | Medipace Beverly Hills Professional Corporation | Internal Medicine | 50 N La Cienega Blvd, Suite 310, Beverly Hills, CA 90211-2227 | 2015-02-12 |
| 1508283698 | Tip Top Anesthesia Group Inc | Licensed Practical Nurse | 50 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2227 | 2014-03-26 |
| 1487085882 | Amanuel Sima Md A Medical Corporation | Internal Medicine | 50 N La Cienega Blvd, Suite 220, Beverly Hills, CA 90211-2227 | 2013-12-10 |
| 1629320627 | Westside Orthopedic Group Inc | Specialist | 50 N La Cienega Blvd, Ste 203, Beverly Hills, CA 90211-2227 | 2012-10-15 |
| 1427316868 | Beverly Hills Ambulatory Surgery Center LLC | Clinic/Center | 50 N La Cienega Blvd, 150, Beverly Hills, CA 90211-3143 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | 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.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326179979 | Allied Med Wholesale | Non-Pharmacy Dispensing Site | 8909 W Olympic Blvd, #208, Beverly Hills, CA 90211-3551 | 2007-03-07 |
| 1215599949 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 3925 N Lecanto Hwy, Beverly Hills, FL 34465-3507 | 2019-07-02 |
| 1932513298 | Mmi Medical Group, Inc. | Non-Pharmacy Dispensing Site | 8670 Wilshire Blvd, Suite 203, Beverly Hills, CA 90211-2924 | 2014-06-16 |
| 1598003725 | David S. Hallegua, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 8641 Wilshire Blvd, Suite 301, Beverly Hills, CA 90211-2900 | 2013-01-23 |
| 1821351545 | Jason Snibbe, Md, Professional Medical Corporation | Non-Pharmacy Dispensing Site | 120 S Spalding Dr, Suite 401, Beverly Hills, CA 90212-1800 | 2012-06-18 |
| 1215203799 | Stuart L Zubrick Marriage Family and Child, A Prof Corp | Non-Pharmacy Dispensing Site | 250 N Robertson Blvd, Suite 106, Beverly Hills, CA 90211-1788 | 2012-03-28 |
| 1306122551 | Justin Paquette, Md Corporation | Non-Pharmacy Dispensing Site | 8670 Wilshire Blvd, Suite 206, Beverly Hills, CA 90211-2924 | 2011-11-01 |
| 1437458288 | Nova Medical Center, A Professional Corporation | Non-Pharmacy Dispensing Site | 444 N Camden Dr, Beverly Hills, CA 90210-4507 | 2011-03-18 |
| 1225331911 | John J. Regan, M.d., Inc. | Non-Pharmacy Dispensing Site | 8929 Wilshire Blvd, Suite 302, Beverly Hills, CA 90211-1938 | 2010-12-17 |
| 1518268127 | Jacob E. Tauber, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 9033 Wilshire Blvd, Suite 401, Beverly Hills, CA 90211-1837 | 2010-11-12 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on REJUVENEDA MEDICAL GROUP, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.