GLENDALE REJUVENATION MEDICAL GROUP – NPI #1073960407
Family Medicine

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

GLENDALE REJUVENATION MEDICAL GROUP is a provider located in WILMINGTON, CA. NPPES has assigned the NPI number 1073960407 to GLENDALE REJUVENATION MEDICAL GROUP on May 16, 2016. 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 207QB0002X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Obesity Medicine Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Dec 21, 2021. 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 GLENDALE REJUVENATION MEDICAL GROUP below.

NPI Profile for
GLENDALE REJUVENATION MEDICAL GROUP

NPI Number
1073960407
Enumeration Date

(more than 10 years 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
GLENDALE REJUVENATION MEDICAL GROUP
Doing Business As (dba): GLENDALE REJUVENATION MEDICAL GROUP
Primary location
1703 N AVALON BLVD
WILMINGTON, CA 90744-1432
Phone: (310) 233-9355 Fax: (310) 233-2545
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDDIE SANTIAGO
MANAGER
Phone: (818) 610-9360
Updated
Certification Date
Dec 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.