Rejuvenation Surgicenter

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

REJUVENATION SURGICENTER

Practice address

17525 Ventura Blvd
101
Encino, CA 91316-3843

Phone

(818) 783-5050

Fax

(818) 783-5059

NPI assigned

Nov 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sid Kamrava, M.D.

Title

Ceo

Phone

(818) 783-5050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1770912370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD",
            "address_2": "101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD",
            "address_2": "101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163843",
            "telephone_number": "818-783-5050",
            "fax_number": "818-783-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION SURGICENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "KAMRAVA",
        "authorized_official_first_name": "SID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-783-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S Reiner, M.D.
• Howard J Reinstein, M.D.
• Kiani Reis
• Irving Reitzenstein, PHARM.D.
• Rejuvenation Surgicenter
• Rekha Lund, Lac
• Reliable Medical Supply Center, Inc
• Reliance Wound Care
• Rene Ghotanian DDS PC
• Veronica Renov, MD

• Multi-Specialty Clinic/Center in Encino, CA
• Providers in Encino, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.