MEDICARE: THRIVE REJUVENATION INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1568960904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE REJUVENATION INC

Provider Business Mailing Address
First Line	:	355 PLACENTIA AVE STE 307
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3303
Country	:	US
Telephone Number	:	949-430-2828
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 PLACENTIA AVE STE 307
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3303
Country	:	US
Telephone Number	:	949-430-2828
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. YONATAN MAHLLER
Credential	:	MD, PHD
Telephone Number	:	949-430-2828

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	01/31/2018

Similar Medicare Providers

1639122799 — MERLE STANLEY ROBBOY MD
Practice Location Address:

355 PLACENTIA AVE , SUITE 309
NEWPORT BEACH, CA
92663-3303

Practice Phone: 949-722-7170
Practice Fax: 949-722-7990

1780795682 — JOCELYN WON, M.D., INC.
Practice Location Address:

355 PLACENTIA AVE STE 307
NEWPORT BEACH, CA
92663-3303

Practice Phone: 949-631-3180
Practice Fax: 949-631-3082

1447305404 — DR. RICHARD MARIO PATRAGNONI JR. MD
Practice Location Address:

355 PLACENTIA AVE STE 307
NEWPORT BEACH, CA
92663-3303

Practice Phone: 800-928-1593
Practice Fax: 800-928-1593

1205973450 — JOCELYN WON M.D.
Practice Location Address:

355 PLACENTIA AVE STE 307
NEWPORT BEACH, CA
92663-3303

Practice Phone: 949-631-3180
Practice Fax: 949-631-3082

1790913051 — MERLE S ROBBOY M.D., A PROFESSIONAL CORPORATION
Practice Location Address:

355 PLACENTIA AVE. , SUITE 308
NEWPORT BEACH, CA
92663-3303

Practice Phone: 949-722-7170
Practice Fax: 949-722-7990

1124838511 — DAN LYU
Practice Location Address:

355 PLACENTIA AVE STE 305
NEWPORT BEACH, CA
92663-3303

Practice Phone: 949-456-0268
Practice Fax:

Directions to “THRIVE REJUVENATION INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.