Individual
DR. JOSEPH W. REGIMBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11311 BRIDGEPORT WAY SW STE 200, LAKEWOOD, WA 98499-3051
(253) 985-6688
(253) 426-4142
Mailing address
11311 BRIDGEPORT WAY SW STE 200, LAKEWOOD, WA 98499-3051
(253) 985-6688
(253) 426-4142
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00020157
WA
207R00000X
Internal Medicine Physician
Primary
MD00020157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0261968
L&I
WA
01
—
0262109
L&I
WA
01
—
0274628
L&I
WA
05
—
1002294
—
WA
05
—
1043485
—
WA
01
—
92155
DEPT. L & I
WA
01
—
G8890783
MEDICARE
WA
01
—
G8890784
MEDICARE
WA
01
—
G8891633
MEDICARE
WA
01
—
MD00020157
WA LICENSE
WA
Enumeration date
07/11/2006
Last updated
03/07/2023
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