REGENCY SPA LLC is a medical specialty clinic center in Surprise, AZ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). REGENCY SPA LLC NPI is 1548844343. The provider is registered as an organization entity type.
The provider's business location address is:
14725 W MOUNTAIN VIEW BLVD
SURPRISE, AZ
ZIP 85374-704
Phone: (623) 243-9077
The provider's authorized official is Jason Lee Mussman .
The authorized official title is Owner and has the following contact phone number (623) 243-9077.
The CLIA number assigned to this NPI record is 03D2159960 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 5/7/2021 and was last updated on 5/7/2021.