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Organization
REGENERATIVE MEDICAL GROUP INC
Active
Organization
REGENERATIVE MEDICAL GROUP INC
Active
Parent organization
REGENERATIVE MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENERATIVE MEDICAL GROUP INC
Authorized official
BRYN JARALD HENDERSON (OWNER)
(714) 639-4012
Entity
Organization
Contact information
Practice address
54910, PINE CREST AVENUE, IDYLLWILD, CA 92549
(951) 659-9912
Mailing address
54910, PINE CREST AVENUE, IDYLLWILD, CA 92549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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