Rejuvenate Surgical Center, P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REJUVENATE SURGICAL CENTER, P.C.

Practice address

10212 Westminster Ave Ste 102
Garden Grove, CA 92843-4800

Phone

(714) 530-8905

NPI assigned

Dec 5, 2017

Last updated

Jun 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victor Dinh Nguyen

Title

Ceo

Phone

(714) 530-8900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1124533781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 WESTMINSTER AVE STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434800",
            "telephone_number": "714-530-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 WESTMINSTER AVE STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434800",
            "telephone_number": "714-530-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Century Park E Ste 703",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900672010",
            "country_code": "US",
            "telephone_number": "714-530-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REJUVENATE SURGICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2021-06-08",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-530-8900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Reichle, DC
• Sarah Reid
• Christina Reimers, CCC-SLP
• Rejuvenate Cosmetics LLC
• Rejuvenate Surgical Center, LLC
• Shirley Antoinette Remmers-Mesman, NP
• Katahdin Rendino, B.A.
• Renew Acupuncture & Wellness Inc
• Renewed Strength Medical Group
• Noel Isaiah Renteria

• Ambulatory Surgical Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.