GLENDALE REJUVENATION MEDICAL GROUP
NPI 1457011256
Non-Pharmacy Dispensing Site in Wilmington, CA

NPI Status: Active since December 21, 2021

Contact Information

1703 N AVALON BLVD
WILMINGTON, CA
ZIP 90744
Phone: (818) 518-5980

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  • Organization
  • Non-Pharmacy Dispensing Site

About GLENDALE REJUVENATION MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Glendale Rejuvenation Medical Group, a provider established in Wilmington, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1457011256 assigned on December 2021. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jeffrey Feinberg (Administrator)

NPI
1457011256
Provider Name
GLENDALE REJUVENATION MEDICAL GROUP
Entity Type
Organization
Location Address
1703 N AVALON BLVD WILMINGTON, CA 90744
Location Phone
(818) 518-5980
Mailing Address
7230 MEDICAL CENTER DR STE 405 WEST HILLS, CA 91307
Mailing Phone
(818) 518-5980
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2021
Last Update Date
12-21-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY FEINBERG

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(818) 430-6312

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457011256
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24107012210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 0 + 1 + 2 + 2 + 1 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1457011256 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447616198BEVERLY HILLS WELLNESS PHYSICIANS CORP
Organization
Pharmacy (Clinic Pharmacy)1703 N AVALON BLVD
WILMINGTON, CA 90744
(818) 518-5980
1831718022RISE OF THE PHOENIX WHOLE HEALTH CENTER
Organization
Acupuncturist1703 N AVALON BLVD
WILMINGTON, CA 90744
(805) 405-1250
1679162747WEST COAST MEDICAL CLINIC INC
Organization
Non-Pharmacy Dispensing Site1703 N AVALON BLVD
WILMINGTON, CA 90744
(310) 923-3030
1902490600STARSHIP MEDICAL CORPORATION
Organization
Preventive Medicine (Sports Medicine)1703 N AVALON BLVD
WILMINGTON, CA 90744
(310) 233-9355
1336733039STARSHIP MEDICAL CORPORATION
Organization
Non-Pharmacy Dispensing Site1703 N AVALON BLVD
WILMINGTON, CA 90744
(310) 233-9355
1073960407GLENDALE REJUVENATION MEDICAL GROUP
Organization
Family Medicine (Obesity Medicine)1703 N AVALON BLVD
WILMINGTON, CA 90744
(310) 233-9355
1003590357HEALING TO YOU
Organization
Clinic/Center (Multi-Specialty)1703 N AVALON BLVD
WILMINGTON, CA 90744
(818) 275-2227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457011256, enumerated in the NPI registry as an "organization" on December 21, 2021

The provider is located at 1703 N Avalon Blvd Wilmington, Ca 90744 and the phone number is (818) 518-5980

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

This NPI record was last updated on December 21, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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