Organization
DIETZ REGENERATIVE HEALTH CORPORATION
Active
Other names
Stoked Regenerative Health, Ventura Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN LLOYD DIETZ JR. MD (OWNER)
(805) 603-1549
Entity
Organization
Contact information
Practice address
3717 TELEGRAPH RD, VENTURA, CA 93003-3420
(805) 586-2068
(805) 504-1160
Mailing address
3717 TELEGRAPH RD, VENTURA, CA 93003-3420
(805) 586-2068
(805) 504-1160
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/27/2025
Last updated
12/23/2025
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