# SO CAL REGENERATIVE MEDICAL CLINICS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104337740
- **Authorized official:** ANDREW KEITH DC (OWNER/PARTNER)
- **Authorized official phone:** (626) 965-2334

## Contact information

- **Practice address:** 843 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4613
- **Practice address phone:** (626) 715-9820
- **Mailing address:** 843 S STATE COLLEGE BLVD, ANAHEIM, CA 92806-4613
- **Mailing address phone:** (626) 715-9820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 10/23/2017
- **Last updated:** 10/23/2017