SOUTH BAY REGENERATIVE MEDICAL SPA INC NPI 1033733779

NPI Information

SOUTH BAY REGENERATIVE MEDICAL SPA INC is a general practice in Redondo Beach, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTH BAY REGENERATIVE MEDICAL SPA INC NPI is 1033733779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

412 S PACIFIC COAST HWY STE 100
REDONDO BEACH, CA
ZIP 90277-712
Phone: (310) 792-9100
Fax: (310) 792-1180

The provider's authorized official is Michelle Villa .
The authorized official title is Billing Dept and has the following contact phone number (805) 474-9053.

The enumeration date for this NPI number is 5/28/2020 and was last updated on 5/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.