Rejuvv, P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REJUVV, P.C.

Practice address

1101 N Sepulveda Blvd Ste 202
Manhattan Beach, CA 90266-5963

Phone

(310) 980-8368

NPI assigned

Mar 3, 2022

Organization subpart

No

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

Authorized official

Name

Martha Koo, M.D.

Title

President

Phone

(310) 980-8368

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1992452551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18119 PRAIRIE AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043739",
            "telephone_number": "310-980-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N SEPULVEDA BLVD STE 202",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665963",
            "telephone_number": "310-980-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVV, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-980-8368",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda K. Reeves, LMFT
• John Joseph Rehm, M.D.
• Racquel Elisa Reid, M.D
• Jean Reiss, AC
• Matthew J Reiss, M.D.
• Carol Gainor Reznichek, MFT
• Marika Reznichek
• Nicolle Yukie Rhodes, PT, DPT, CSCS
• Erin Riley
• Joseph Georgino Rimio, DDS

• Adult Mental Health Clinic/Center in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.