Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Regenerative Medical Group Inc

Organization Family Medicine Physician · NPI 1366051419

Regenerative Medical Group Inc is a Family Medicine Physician in Idyllwild, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

54910 Pine Crest Ave
Idyllwild, CA 92549
Phone: (951) 659-9912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366051419
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRegenerative Medical Group Inc
Authorized official Bryn Henderson — Owner · (714) 639-4012
NPI enumeratedJuly 24, 2020
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address54910, Pine Crest Avenue, Idyllwild, CA 92549

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