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Organization

BODY OF BEVERLY HILLS WELLNESS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEIDI REGENASS MD (CEO)
(818) 291-3636
Entity
Organization

Contact information

Practice address
17609 VENTURA BLVD STE 104, ENCINO, CA 91316-5148
(818) 291-3636
(877) 395-9650
Mailing address
17609 VENTURA BLVD STE 104, ENCINO, CA 91316-5148
(818) 291-3636
(877) 395-9650

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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