Thrive Rejuvenation Inc

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

THRIVE REJUVENATION INC

Practice address

355 Placentia Ave Ste 307
Newport Beach, CA 92663-3303

Phone

(949) 430-2828

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Yonatan Mahller, MD, PHD

Title

Ceo

Phone

(949) 430-2828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1568960904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633303",
            "telephone_number": "949-430-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633303",
            "telephone_number": "949-430-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE REJUVENATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "MAHLLER",
        "authorized_official_first_name": "YONATAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-430-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infusion Therapy Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Infusion Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.