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

Southern California Regenerative Medical Inc

Organization Pain Medicine Physician · NPI 1174097612

Southern California Regenerative Medical Inc is a Pain Medicine Physician in Oceanside, California. Registered with an NPI since 2019.

In the registry since
2019
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

2111 S El Camino Real Ste 200
Oceanside, CA 92054-9000
Phone: (760) 722-3202
Fax: (760) 979-0018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1174097612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minu Sharma — Chairman · (760) 722-3202
NPI enumeratedJanuary 17, 2019
Last updated in NPPESApril 1, 2019
Mailing address2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000

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