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Organization
NOWYSZ REGENERATIVE MEDICINE PC
Active
Organization
NOWYSZ REGENERATIVE MEDICINE PC
Active
Other names
Center For Regeneration
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN REICHARDT (MANAGER)
(310) 600-8872
Entity
Organization
Contact information
Practice address
55887 YUCCA TRL, YUCCA VALLEY, CA 92284-2546
(760) 365-0804
Mailing address
55887 YUCCA TRL, YUCCA VALLEY, CA 92284-2546
(760) 365-0804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
11/30/2020
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