Healthcare Provider Details

I. General information

NPI: 1437063088
Provider Name (Legal Business Name): TRUCARE REGENERATIVE CLINICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 W CHAPMAN AVE STE 101
ORANGE CA
92868-2862
US

IV. Provider business mailing address

1234 W CHAPMAN AVE STE 101
ORANGE CA
92868-2862
US

V. Phone/Fax

Practice location:
  • Phone: 714-532-6713
  • Fax:
Mailing address:
  • Phone: 714-532-6713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: RAJIV SANGHVI
Title or Position: ADMINISTRATOR
Credential:
Phone: 714-532-6713