GLENDALE REJUVENATION MEDICAL GROUP - NPI 1073960407 - Family Medicine in Wilmington, CA

Q: What is Glendale Rejuvenation Medical Group's NPI number?

The NPI number for Glendale Rejuvenation Medical Group is 1073960407. It was assigned to this organization in the NPPES registry on May 16, 2016.

Q: What is Glendale Rejuvenation Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

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About Glendale Rejuvenation Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDALE REJUVENATION MEDICAL GROUP (NPI 1073960407) is a healthcare organization registered as an obesity medicine in Wilmington, California and active in the NPI registry since May 2016. The organization lists Eddie Santiago, Manager, as its authorized official.

NPPES Registry Identity

NPI1073960407

Entity TypeOrganization

Primary Taxonomy207QB0002X

Legal Business NameGLENDALE REJUVENATION MEDICAL GROUP

Location Address1703 N AVALON BLVDWilmington, CA 90744-1432

Mailing Address1703 N Avalon BlvdWilmington, CA 90744-1432 · (818) 518-5980 · Fax (818) 551-0466

Phone(310) 233-9355

Fax(310) 233-2545

Organization SubpartNo

Authorized OfficialEddie SantiagoManager · (818) 610-9360

Enumeration DateMay 16, 2016

Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration

NPPES CertifiedDecember 21, 2021

✔ NPI 1073960407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedChiropractor · NutritionTaxonomy 111NN1001X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedPreventive Medicine · Sports MedicineTaxonomy 2083S0010X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

1703 N AVALON BLVD, Wilmington, CA 90744

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Other Names 1

Doing Business AsGlendale Rejuvenation Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALING TO YOU

Clinic/Center (Multi-Specialty)