Rejuvenix Medical LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

REJUVENIX MEDICAL LLC

Practice address

22635 Alessandro Blvd
Suite B
Moreno Valley, CA 92553-8550

Phone

(951) 653-5300

Fax

(951) 653-5346

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Santiago Alvarez

Title

Director

Phone

(951) 653-5300

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1659670917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22635 ALESSANDRO BLVD",
            "address_2": "SUITE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538550",
            "telephone_number": "951-653-5300",
            "fax_number": "951-653-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22635 ALESSANDRO BLVD",
            "address_2": "SUITE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538550",
            "telephone_number": "951-653-5300",
            "fax_number": "951-653-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENIX MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "SANTIAGO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-653-5300"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.