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NPI Code Detail

MEDICARE: ARC REGEN LLC

MEDICARE: ARC REGEN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1942190947
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARC REGEN LLC
Provider Business Mailing Address
First Line : 3737 PECOS MCLEOD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4263
Country : US
Telephone Number : 630-430-1112
Fax Number :
Provider Business Practice Location Address
First Line : 3737 PECOS MCLEOD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89121-4263
Country : US
Telephone Number : 630-430-1112
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT OF OPERATIONS
Name : AMI PARIKH
Credential : MPM, MBA, CPM
Telephone Number : 630-430-1112
Provider Enumeration Date : 07/09/2025
Last Update Date : 06/02/2026

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Directions to “ARC REGEN LLC ” Practice Location

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