Regenerative Medical Group INC
NPI #1366051419 in Idyllwild, California
Provider Information
- NPI Number
- 1366051419
- Entity Type
- Organization
- Organization Name
- Regenerative Medical Group INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- REGENERATIVE MEDICAL GROUP INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 24, 2020
- Last Updated
- Jul 24, 2020
Practice Location
- Address
- 54910, PINE CREST AVENUE
- City
- Idyllwild
- State
- California
- ZIP Code
- 92549
- Phone
- (951) 659-9912
Authorized Official
- Name
- BRYN JARALD HENDERSON
- Title
- OWNER
- Phone
- (714) 639-4012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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