South Bay Regenerative Medical Spa Inc
South Bay Regenerative Medical Spa Inc is a General Practice Physician in Redondo Beach, 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.
Practice location Address checks out
412 S Pacific Coast Hwy Ste 100Redondo Beach, CA 90277-3712
Phone: (310) 792-9100
Fax: (310) 792-1180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1033733779 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Villa — Billing Dept · (805) 474-9053 |
| Other names | Body Care Regenerative Medicine |
| NPI enumerated | May 28, 2020 |
| Last updated in NPPES | May 28, 2020 |
| Certification date | May 28, 2020 |
| Mailing address | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 |
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