PLASTIC REJUVENATION MEDICAL PROFESSIONAL/CORP – NPI #1508651068
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PLASTIC REJUVENATION MEDICAL PROFESSIONAL/CORP is a provider located in TORRANCE, CA. NPPES has assigned the NPI number 1508651068 to PLASTIC REJUVENATION MEDICAL PROFESSIONAL/CORP on April 14, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PLASTIC REJUVENATION MEDICAL PROFESSIONAL/CORP below.

NPI Profile for
PLASTIC REJUVENATION MEDICAL PROFESSIONAL/CORP

NPI Number
1508651068
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PLASTIC REJUVENATION MEDICAL PROFESSIONAL/CORP
Primary location
25408 CRENSHAW BLVD
TORRANCE, CA 90505
Phone: (818) 518-5980 Fax:
Mailing address
600 N MOUNTAIN AVE
SUITE B100
UPLAND, CA 91786
Phone: (818) 518-5980 Fax: (818) 337-2069
Organization Subpart
No
Authorized Official
DENNIS ALWEN
MEDICAL DIRECTOR
Phone: (818) 518-5980
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208600000X
- Surgery
208200000X
- Plastic Surgery
207QB0002X
- Family Medicine / Obesity Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.