Organization Active NPI

Mang Plastic Surgery, LLC

Doing business as Rejuve Aesthetic Surgery

  • Plastic Surgery Physician
  • Johns Creek, GA
National Provider Identifier
1891617429
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
MANG PLASTIC SURGERY, LLC
Doing business as
Rejuve Aesthetic Surgery
Practice address
10990 State Bridge Rd Ste C
Johns Creek, GA 30022-4558
Phone
(770) 814-9533
Fax
(770) 814-9534
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Dr. Brandon-Dzung Mang, MD
Title
Ceo
Phone
(210) 862-3946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

10990 State Bridge Rd Ste C
Johns Creek, GA 30022-4558

Mailing address

10990 State Bridge Rd Ste C
Johns Creek, GA 30022-4558
Phone (770) 814-9533

Other practice location 1

3325 W Gandy Blvd
Tampa, FL 33611-2931
Phone (813) 280-2639

Other names 1

  • Rejuve Aesthetic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

10990 State Bridge Rd
Ste C
Johns Creek, GA 30022
Phone (770) 814-9533

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1891617429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 STATE BRIDGE RD STE C",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300224558",
            "telephone_number": "770-814-9533",
            "fax_number": "770-814-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 STATE BRIDGE RD STE C",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300224558",
            "telephone_number": "770-814-9533",
            "fax_number": "770-814-9534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 W Gandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336112931",
            "country_code": "US",
            "telephone_number": "813-280-2639",
            "fax_number": "813-280-2642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANG PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "MANG",
        "authorized_official_first_name": "BRANDON-DZUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-862-3946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuve Aesthetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.