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General NPI Number Information
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NPI Number | 1730826223
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Entity Type | Organization
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Legal Business Name | HEIDI REGENASS, M.D., PC.
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1945 E 17TH ST STE 107
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City | SANTA ANA
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State | CA
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Zip | 92705-6862
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Country | US
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Telephone | 714-500-7714
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 WESTCLIFF DR STE 303
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5519
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Country | US
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Telephone | 949-503-9621
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEIDI REGENASS
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Credential | MD
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Telephone | 949-503-9621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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