Lifespan the Center for Aging and Regenerative Medicine

NPI #1447504147 in Redding, California

Provider Information

NPI Number: 1447504147
Entity Type: Organization
Organization Name: Lifespan the Center for Aging and Regenerative Medicine
Primary Specialty: Anesthesiology
Enumeration Date: Nov 1, 2012
Last Updated: Dec 3, 2012

Practice Location

Address: 1465 VICTOR AVE
Address 2: SUITE A
City: Redding
State: California
ZIP Code: 96003-4856
Phone: (530) 605-4557

Authorized Official

Name: DANIEL GOODMAN, MD
Title: PRESIDENT
Phone: (530) 605-4557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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