Organization
SAN DIEGO CENTER FOR REGENERATIVE MEDICINE
Active
Organization
SAN DIEGO CENTER FOR REGENERATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MILLER M.D. (PRESIDENT)
(760) 610-0522
Entity
Organization
Contact information
Practice address
3142 VISTA WAY STE 207, OCEANSIDE, CA 92056-3628
(760) 610-0522
(949) 612-2727
Mailing address
555 N EL CAMINO REAL # A389, SAN CLEMENTE, CA 92672-6740
(760) 610-0522
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
A82629
CA
261QM1300X
Multi-Specialty Clinic/Center
Primary
A82629
CA
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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