Organization · NPI-2

Advanced Regenerative Healing And Wellness Center

Clinic/Center · Mission Viejo, CA

NPI number1528678489
StatusActive
Last updated in NPPESAug 5, 2020

Details

NPI
1528678489
Entity type
Organization (NPI-2)
Legal business name
Advanced Regenerative Healing And Wellness Center
Organization subpart
No
Enumeration date
Aug 5, 2020
Certification date
Aug 5, 2020
Last updated
Aug 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

26440 La Alameda
Suite 380
Mission Viejo, CA 92691

Phone 949-446-9272

Mailing address

44257 Meadow Grove Street
Hemet, CA 92544

Phone 951-260-7234

Authorized official

David Joseph Mata
Co-Founder, Chief Health Officer
9512607234

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