Organization · Type 2 NPI

Dietz Regenerative Health Corporation

General Practice Physician · Ventura, CA

NPI number 1174402010 Active

Practice location

3717 Telegraph Rd
Ventura, CA 93003-3420

Fax (805) 504-1160

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone 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.

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About NPI 1174402010

Dietz Regenerative Health Corporation's National Provider Identifier is 1174402010, issued on Aug 27, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ventura, CA. The record was last updated on Oct 9, 2026.