Rejuvenation Center Clinic Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REJUVENATION CENTER CLINIC GROUP INC

Practice address

4940 Van Nuys Blvd Ste 307
Sherman Oaks, CA 91403

Phone

(818) 849-6411

Fax

(818) 582-3134

NPI assigned

Jul 14, 2017

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria Monsalve, MD

Title

Medical Director

Phone

(818) 849-6411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1912429556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 307",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914031700",
            "telephone_number": "818-849-6411",
            "fax_number": "818-582-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 307",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-849-6411",
            "fax_number": "818-582-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION CENTER CLINIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "MONSALVE",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-849-6411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emy Reid, FNP
• Tatyana Reid
• Thomas Michael Reilly, MD
• Alexa Danielle Reina
• Ariella Sandra Reisner, PSY.D
• Relentless Pursuit Therapy & Consulting
• Anne Margaret Renaud, PHD
• Ryann A Rendich
• Roxanne Rendon
• Angelica Renteria

• Family Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.