NPI Registry.org

Grossman Medical Rejuvenation Inc

NPI Registration Record

Provider / OrganizationNPIDate Certified
GROSSMAN MEDICAL REJUVENATION INC10632602482024-05-11

The organization Grossman Medical Rejuvenation Inc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1063260248. Registration indicates Grossman Medical Rejuvenation Inc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

Entity TypeOrganization
Provider OrganizationGROSSMAN MEDICAL REJUVENATION INC
Practice Office Address4440 VON KARMAN AVE STE 202
NEWPORT BEACH, CA US
Practice Office Telephone8772586331
Practice Office Fax7183621651
Mailing Address612 CORPORATE WAY STE 2M
VALLEY COTTAGE, NY 109892027 US
Business Telephone8772586331
Business Fax7183621651
Authorized OfficialMICHAEL GROSSMAN, OWNER
8772586331
HPT Codes
CodePractice
License No
State
207Q00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family MedicineAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine
Family Medicine

Primary Care/Family Planning/APRN/PA

Family Medicine
Allopathic & Osteopathic Physicians
193200000X MULTGroup Code
OPI Codes
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