Organization · Type 2 NPI

Regenerate Ghods, Inc

Clinic/Center · Los Angeles, CA

NPI number 1205415882 Active

Practice location

6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458

Call (323) 438-2650 Map

Mailing address

8200 Wilshire Blvd Ste 208
Beverly Hills, CA 90211-2328

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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NPI record

NPI: 1205415882
Entity type: Organization (Type 2)
Issued: Apr 2, 2021
Last updated: Apr 9, 2021
Status: Active

Other names

<unavail>
Regenerate the Future of Medicine · doing business as
Regenerate the Future of Medicine · doing business as

Authorized official

Mr. Michael Farah
CEO
(310) 879-7167

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205415882

Regenerate Ghods, Inc's National Provider Identifier is 1205415882, issued on Apr 2, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 9, 2021.