Organization
REGENASS HEALTHCARE GROUP
Active
Other names
Serenite Wellness Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINADOR MANSAT JR. FNP-C (CFO)
(909) 348-3067
Entity
Organization
Contact information
Practice address
1910 S ARCHIBALD AVE STE M2, ONTARIO, CA 91761-8502
(909) 348-2556
(877) 615-1555
Mailing address
9415 RETREAT PL, RANCHO CUCAMONGA, CA 91730-9200
(909) 348-3067
(877) 615-1555
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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