Healthcare Provider Details

I. General information

NPI: 1528996501
Provider Name (Legal Business Name): REGENCURE CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15233 VENTURA BLVD STE 513
SHERMAN OAKS CA
91403-2201
US

IV. Provider business mailing address

15233 VENTURA BLVD STE 500
SHERMAN OAKS CA
91403-2231
US

V. Phone/Fax

Practice location:
  • Phone: 747-383-6707
  • Fax:
Mailing address:
  • Phone: 747-383-6707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARTIROS ARISTAKESYAN
Title or Position: CEO
Credential:
Phone: 747-383-6707