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Organization
SO CAL REGENERATIVE MEDICAL CLINICS INC
Active
Organization
SO CAL REGENERATIVE MEDICAL CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KEITH DC (OWNER/PARTNER)
(626) 965-2334
Entity
Organization
Contact information
Practice address
843 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4613
(626) 715-9820
Mailing address
843 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4613
(626) 715-9820
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
CA
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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