Provider Demographics
NPI:1326938069
Name:JJ REJUVENATION HEALING CENTER, INC.
Entity type:Organization
Organization Name:JJ REJUVENATION HEALING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-405-8808
Mailing Address - Street 1:PO BOX 99565
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92169-1565
Mailing Address - Country:US
Mailing Address - Phone:858-405-8808
Mailing Address - Fax:
Practice Address - Street 1:3675 RUFFIN RD STE 135
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1897
Practice Address - Country:US
Practice Address - Phone:858-405-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-04
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center