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General NPI Number Information
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NPI Number | 1952866675
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Entity Type | Organization
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Legal Business Name | REGENERATIVE MEDICAL CENTER MANAGEMENT LLC
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 4310 TRADEWINDS DR STE 300
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City | OXNARD
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State | CA
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Zip | 93035-1410
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Country | US
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Telephone | 805-702-2500
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Fax | 805-233-3035
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Provider Business Mailing Address
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Address Line | 4310 TRADEWINDS DR STE 300
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City | OXNARD
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State | CA
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Zip | 93035-1410
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Country | US
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Telephone | 805-702-2500
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Fax | 805-233-3035
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLAN DAVID LAIRD
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Credential | DC
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Telephone | 805-702-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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