# BODY OF BEVERLY HILLS WELLNESS INC

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

## Provider details

- **NPI number:** 1275307662
- **Authorized official:** HEIDI REGENASS MD (CEO)
- **Authorized official phone:** (818) 291-3636

## Contact information

- **Practice address:** 17609 VENTURA BLVD STE 104, ENCINO, CA 91316-5148
- **Practice address phone:** (818) 291-3636
- **Practice address fax:** (877) 395-9650
- **Mailing address:** 17609 VENTURA BLVD STE 104, ENCINO, CA 91316-5148
- **Mailing address phone:** (818) 291-3636
- **Mailing address fax:** (877) 395-9650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 11/07/2023