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

Rejuvenate Medical Group Inc

Organization General Practice Physician · NPI 1629626981

Rejuvenate Medical Group Inc provides General Practice Physician services in San Diego, California. Registered with an NPI since 2019.

In the registry since
2019
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

5030 Camino De La Siesta Ste 404
San Diego, CA 92108-3120
Phone: (619) 295-9791
Fax: (619) 297-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1629626981
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesika Casey — Cfo · (619) 295-9791
NPI enumeratedAugust 29, 2019
Last updated in NPPESAugust 29, 2019
Mailing address5030 Camino De La Siesta Ste 404, San Diego, CA 92108-3120

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