Organization · Type 2 NPI
South Bay Regenerative Medical Spa Inc
General Practice Physician · Redondo Beach, CA
NPI number
1033733779
Active
Practice location
412 S Pacific Coast Hwy Ste 100
Redondo Beach, CA 90277-3712
Fax (310) 792-1180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Redondo Beach
About NPI 1033733779
South Bay Regenerative Medical Spa Inc's National Provider Identifier is 1033733779, issued on May 28, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Redondo Beach, CA. The record was last updated on May 28, 2020.