Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Grossman Medical Rejuvenation Inc

Organization Family Medicine Physician · NPI 1063260248

Grossman Medical Rejuvenation Inc provides Family Medicine Physician services in Newport Beach, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4440 Von Karman Ave Ste 202
Newport Beach, CA 92660-2011
Phone: (877) 258-6331
Fax: (718) 362-1651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1063260248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Grossman — Owner · (877) 258-6331
NPI enumeratedMay 11, 2024
Last updated in NPPESMay 11, 2024
Certification dateMay 11, 2024
Mailing address612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027

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