Rejuvamed LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REJUVAMED LLC

Practice address

3644 Lloyd PL
San Diego, CA 92117-6027

Phone

(404) 264-0800

NPI assigned

Apr 7, 2010

Last updated

May 3, 2014By 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

Dr. James Doyle Lingle III, M.D.

Title

President

Phone

(404) 264-0800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399075200000",
    "number": "1437475076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 LLOYD PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176027",
            "telephone_number": "404-264-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 LLOYD PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176027",
            "telephone_number": "404-264-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVAMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2014-05-03",
        "status": "A",
        "authorized_official_last_name": "LINGLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-264-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn June Reiter
• Grace Reitsma
• Anna Kristine Reitz
• Alexandros Mihalis Reizian, DMD
• Nasim Rejali
• Rejuve-Nations Outpatients Facility, Inc.
• Rejuvenate Medical Group Inc
• Reka Health Inc
• Cherie Ann Rekevics, NP
• Jazmine L Reko, RBT

• Primary Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; 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.