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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