Rejuvenation Distribution LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REJUVENATION DISTRIBUTION LLC

Practice address

1882 W El Norte Pkwy Ste C11&C12
Escondido, CA 92026-3378

Phone

(510) 910-1959

NPI assigned

Dec 17, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle Loudi

Title

Owner

Phone

(916) 262-5979

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1023604634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 W EL NORTE PKWY STE C11&C12",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 W EL NORTE PKWY STE C11&C12",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920263378",
            "telephone_number": "510-910-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION DISTRIBUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "LOUDI",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-262-5979"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Edward Reid, M.D.
• Jessica Reilly
• Christina Jade Reinhofer
• Eliza Reis, CADC II
• Ryan Reis, MSW
• Jo-Ann Marie Rellosa, RADT
• Vivian Rendon
• Elizabeth Otilia Renteria
• Victoria Cabral Rerolle
• Ana Melissa Resendiz-Castillo

• Durable Medical Equipment & Medical Supplies in Escondido, CA
• Providers in Escondido, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.