Healthcare Provider Details

I. General information

NPI: 1083527899
Provider Name (Legal Business Name): REGIONS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 ENCINITAS BLVD
ENCINITAS CA
92024-4361
US

IV. Provider business mailing address

2211 ENCINITAS BLVD
ENCINITAS CA
92024-4361
US

V. Phone/Fax

Practice location:
  • Phone: 760-846-4578
  • Fax:
Mailing address:
  • Phone: 760-846-4578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: CHARLES PARKS
Title or Position: CEO
Credential:
Phone: 760-846-4578