# REGENERATIVE IMMUNOLOGY INC

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

## Provider details

- **NPI number:** 1750117214
- **Authorized official:** NATALIYA KUSHNIR MD (CEO)
- **Authorized official phone:** (510) 616-8688

## Contact information

- **Practice address:** 2320 WOOLSEY ST STE 314, BERKELEY, CA 94705-1976
- **Practice address phone:** (510) 616-8688
- **Practice address fax:** (510) 666-0916
- **Mailing address:** 2320 WOOLSEY ST STE 314, BERKELEY, CA 94705-1976
- **Mailing address phone:** (510) 616-8688
- **Mailing address fax:** (510) 666-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |

## Other

- **Enumeration date:** 09/11/2024
- **Last updated:** 09/11/2024