| Regenerative Medical Group Inc | |
|
54910, Pine Crest Avenue Idyllwild CA 92549 | |
| (951) 659-9912 | |
| Not Available |
| Full Name | Regenerative Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 54910, Pine Crest Avenue, Idyllwild, California |
| Authorized Official Name and Position | Bryn Jarald Henderson (OWNER) |
| Authorized Official Contact | 7146394012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Medical Group Inc 54910, Pine Crest Avenue Idyllwild CA 92549 Ph: () - | Regenerative Medical Group Inc 54910, Pine Crest Avenue Idyllwild CA 92549 Ph: (951) 659-9912 |
| NPI Number | 1366051419 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366051419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Idyllwild Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54910 Pinecrest Ave, Idyllwild, CA 92549 Phone: 951-659-4908 Fax: 951-659-2984 | |
Strawberry Creek Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54910 Pine Crest Avenue, Idyllwild, CA 92549 Phone: 917-225-6302 |