Organization · NPI-2
Regentox LLC
Specialist · Westminster, CA
NPI number1932161007
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1932161007
- Entity type
- Organization (NPI-2)
- Legal business name
- Regentox LLC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2006
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 171100000X | Acupuncturist | AC6261 | CA | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 261QP3300X | Clinic/Center, Pain | – | – |
Other names
- Mb Laser Clinic (Doing Business As)
Practice location
9191 Bolsa Ave Ste 207Westminster, CA 92683-5561
Phone 714-622-4125 · Fax 714-622-4125
Mailing address
9191 Bolsa Ave Ste 207Westminster, CA 92683-5561
Phone 714-622-4125 · Fax 714-622-4125
Other practice locations
18682 Beach Blvd Ste 165
Huntington Beach, CA 92648-2076
Huntington Beach, CA 92648-2076
Phone 714-465-9599
Authorized official
Therresa Anhdao Ngoc Quach
Director
7144659599
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