Organization
CALIFORNIA INTEGRATIVE MEDICINE, INC.
Active
Other names
Center for Regenerative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN THOMASON (VICE PRESIDENT/SECRETARY)
(925) 222-0491
Entity
Organization
Contact information
Practice address
1850 TICE VALLEY BOULEVARD, WALNUT CREEK, CA 94595-2224
(925) 310-7836
(925) 405-0965
Mailing address
1850 TICE VALLEY BOULEVARD, WALNUT CREEK, CA 94595-2224
(925) 310-7836
(925) 405-0965
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
04/14/2021
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