Energy Wellness Rejuvenation Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G31910 Issued in CA

Legal business name

ENERGY WELLNESS REJUVENATION INC

Practice address

456 Panorama Dr
Laguna Beach, CA 92651-1278

Phone

(949) 307-6210

Fax

(949) 497-4225

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John L Glavinovich, MD

Title

President

Phone

(949) 307-6210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1396197026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 PANORAMA DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511278",
            "telephone_number": "949-307-6210",
            "fax_number": "949-497-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 PANORAMA DR",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511278",
            "telephone_number": "949-307-6210",
            "fax_number": "949-497-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGY WELLNESS REJUVENATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "GLAVINOVICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-307-6210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G31910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Ann Eckert, MD
• Mackenzie Marie Eggie
• Nchelem Diedre Ehule
• Cheryl Laureen Eiler
• Alisa Eisenberg, MFT
• Lynn E Epstein, M.S., SLP-CCC
• Erik J Geiger MD Inc.
• Escr Healthcare Management, LLC
• Shabnam Esmailzadeh K, LAC
• Aaron Esrig, M.D.

• Emergency Medicine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.