South Bay Regenerative Medical Spa INC
NPI #1033733779 in Redondo Beach, California
Provider Information
- NPI Number
- 1033733779
- Entity Type
- Organization
- Organization Name
- South Bay Regenerative Medical Spa INC
- Primary Specialty
- General Practice
- Enumeration Date
- May 28, 2020
- Last Updated
- May 28, 2020
Practice Location
- Address
- 412 S PACIFIC COAST HWY STE 100
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-3712
- Phone
- (310) 792-9100
Authorized Official
- Name
- MICHELLE VILLA
- Title
- BILLING DEPT
- Phone
- (805) 474-9053
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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