Rejuvenate Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

REJUVENATE SURGICAL CENTER, LLC

Practice address

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

Phone

(714) 530-8905

NPI assigned

May 16, 2018

Last updated

May 16, 2018By 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

Mr. Vincent Dinh Nguyen, JD

Title

Owner

Phone

(714) 594-8617

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1295225001",
    "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": [],
    "basic": {
        "organization_name": "REJUVENATE SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-594-8617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 May 16, 2018; 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.