# REGEN MEDICAL GROUP

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

## Provider details

- **NPI number:** 1659180420
- **Authorized official:** KARIN HOSSEPIAN (OWNER)
- **Authorized official phone:** (818) 730-9128

## Contact information

- **Practice address:** 1016 E BROADWAY STE 203, GLENDALE, CA 91205-4535
- **Practice address phone:** (818) 730-9128
- **Mailing address:** 1016 E BROADWAY STE 203, GLENDALE, CA 91205-4535
- **Mailing address phone:** (818) 730-9128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025