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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