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Organization
REGENERATIVE IMMUNOLOGY INC
Active
Organization
REGENERATIVE IMMUNOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIYA KUSHNIR MD (CEO)
(510) 616-8688
Entity
Organization
Contact information
Practice address
2320 WOOLSEY ST STE 314, BERKELEY, CA 94705-1976
(510) 616-8688
(510) 666-0916
Mailing address
2320 WOOLSEY ST STE 314, BERKELEY, CA 94705-1976
(510) 616-8688
(510) 666-0916
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
175F00000X
Naturopath
—
NULL
175F00000X
Naturopath
—
—
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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