NPIMap

Organization Active NPI

Rejuva Medical Aesthetics, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1730772955
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
REJUVA MEDICAL AESTHETICS, INC.
Practice address
11645 Wilshire Blvd Ste 605
Los Angeles, CA 90025-6842
Phone
(424) 644-2400
Fax
(424) 298-4175
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Kian Karimi, MD, FACSNPI 1073603262
Title
Owner/Medical Director
Phone
(424) 644-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X NU
Plastic and Reconstructive Surgery Physician 2086S0122X NU Primary

Addresses

Primary practice location

11645 Wilshire Blvd Ste 605
Los Angeles, CA 90025-6842

Mailing address

11645 Wilshire Blvd Ste 605
Los Angeles, CA 90025-6842
Phone (424) 644-2400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1730772955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 605",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256842",
            "telephone_number": "424-644-2400",
            "fax_number": "424-298-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 605",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256842",
            "telephone_number": "424-644-2400",
            "fax_number": "424-298-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVA MEDICAL AESTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "KARIMI",
        "authorized_official_first_name": "KIAN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "424-644-2400",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.