Regenerative Medical Group
NPI #1881104222 in Garden Grove, California
Provider Information
- NPI Number
- 1881104222
- Entity Type
- Organization
- Organization Name
- Regenerative Medical Group
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Oct 11, 2017
- Last Updated
- Aug 28, 2018
Practice Location
- Address
- 12620 BROOKHURST ST STE 2
- City
- Garden Grove
- State
- California
- ZIP Code
- 92840
- Phone
- (657) 251-0453
Authorized Official
- Name
- DR. BRYN JARALD HENDERSON, DO
- Title
- OWNER
- Phone
- (714) 639-4012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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