| South Bay Regenerative Medical Spa Inc | |
|
412 S Pacific Coast Hwy Ste 100 Redondo Beach CA 90277-3712 | |
| (310) 792-9100 | |
| (310) 792-1180 |
| Full Name | South Bay Regenerative Medical Spa Inc |
|---|---|
| Speciality | General Practice |
| Location | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, California |
| Authorized Official Name and Position | Michelle Villa (BILLING DEPT) |
| Authorized Official Contact | 8054749053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Regenerative Medical Spa Inc 412 S Pacific Coast Hwy Ste 100 Redondo Beach CA 90277-3712 Ph: (310) 792-9100 | South Bay Regenerative Medical Spa Inc 412 S Pacific Coast Hwy Ste 100 Redondo Beach CA 90277-3712 Ph: (310) 792-9100 |
| NPI Number | 1033733779 |
|---|---|
| Provider Enumeration Date | 05/28/2020 |
| Last Update Date | 05/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033733779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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