| Regenerative Optimum Health Inc | |
|
11180 Warner Ave Suite 257 Fountain Valley CA 92708-7501 | |
| (714) 885-8980 | |
| (714) 434-0790 |
| Full Name | Regenerative Optimum Health Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11180 Warner Ave, Fountain Valley, California |
| Authorized Official Name and Position | Evelyne N Llorente (PRESIDENT) |
| Authorized Official Contact | 7148858980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Optimum Health Inc 11180 Warner Ave Suite 257 Fountain Valley CA 92708-7501 Ph: (714) 885-8980 | Regenerative Optimum Health Inc 11180 Warner Ave Suite 257 Fountain Valley CA 92708-7501 Ph: (714) 885-8980 |
| NPI Number | 1023378981 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023378981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G63738 (California) | Primary |
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