Glendale Rejuvenation Medical Group
NPI 1073960407 · Obesity Medicine (Family Medicine) Physician · Wilmington, CA
Glendale Rejuvenation Medical Group is a Obesity Medicine (Family Medicine) Physician organization in Wilmington, CA (NPI 1073960407).
Provider details
- NPI number
- 1073960407
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eddie Santiago, Manager(818) 610-9360
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Nutrition Chiropractor111NN1001X
Chiropractic Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Allergy & Immunology Physician207K00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Glendale Rejuvenation Medical Group
- Doing business as
- Glendale Rejuvenation Medical Group
Registry dates
- Enumerated
- 2016-05-16
- Last updated
- 2021-12-21
- Certified
- 2021-12-21
Frequently asked questions
- What is Glendale Rejuvenation Medical Group's NPI number?
- Glendale Rejuvenation Medical Group's National Provider Identifier (NPI) is 1073960407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glendale Rejuvenation Medical Group?
- Glendale Rejuvenation Medical Group is classified in the NPPES registry as Obesity Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Glendale Rejuvenation Medical Group located?
- Glendale Rejuvenation Medical Group's practice location on file with NPPES is 1703 N Avalon Blvd, Wilmington, CA 90744-1432.
- What is Glendale Rejuvenation Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Glendale Rejuvenation Medical Group is (310) 233-9355.
- Who is the authorized official for Glendale Rejuvenation Medical Group?
- The authorized official listed on Glendale Rejuvenation Medical Group's NPPES record is Eddie Santiago, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glendale Rejuvenation Medical Group's NPI active?
- Yes — Glendale Rejuvenation Medical Group's NPI (1073960407) is active in the NPPES registry as of the last update on 2021-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.