Provider Type Icon

THEA CENTER FOR REGENERATIVE MEDICINE NPI 1588256069


NPI Information

NPI: 1588256069
Provider Name: THEA CENTER FOR REGENERATIVE MEDICINE
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9568 TOPANGA CANYON BLVD
CHATSWORTH, CA
ZIP 91311
Phone: (818) 356-8232
Get Directions

THEA CENTER FOR REGENERATIVE MEDICINE is a general practice in Chatsworth, 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 THEA CENTER FOR REGENERATIVE MEDICINE NPI is 1588256069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9568 TOPANGA CANYON BLVD
CHATSWORTH, CA
ZIP 91311-011
Phone: (818) 356-8232
Fax: (818) 483-6262

The provider's authorized official is Joy Kong .
The authorized official title is Medical Director and has the following contact phone number (310) 592-7504.

The enumeration date for this NPI number is 2/6/2021 and was last updated on 2/6/2021.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2175F00000XNaturopathNo
32083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineNo
42084A0401XPsychiatry & NeurologyAddiction MedicineNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
6208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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.