Organization
REGENERATIVE MEDICAL GROUP
Active
Organization
REGENERATIVE MEDICAL GROUP
Active
Other names
RMG Garden Grove
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYN JARALD HENDERSON DO (OWNER)
(714) 639-4012
Entity
Organization
Contact information
Practice address
12620 BROOKHURST ST STE 2, GARDEN GROVE, CA 92840
(657) 251-0453
(657) 251-0783
Mailing address
615 E CHAPMAN AVE, ORANGE, CA 92866-1643
(714) 639-4012
(714) 639-4018
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
08/28/2018
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