Organization
REGEN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN HOSSEPIAN (OWNER)
(818) 730-9128
Entity
Organization
Contact information
Practice address
1016 E BROADWAY STE 203, GLENDALE, CA 91205-4535
(818) 730-9128
Mailing address
1016 E BROADWAY STE 203, GLENDALE, CA 91205-4535
(818) 730-9128
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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