Organization · NPI-2
Advanced Regeneration Therapy Medical Group, INC
Clinic/Center · Redondo Beach, CA
NPI number1932536372
StatusActive
Last updated in NPPESSep 30, 2013
Details
- NPI
- 1932536372
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Regeneration Therapy Medical Group, INC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2013
- Last updated
- Sep 30, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Art Medical Group, INC (Other Name)
Practice location
700 N Pacific Coast Hwy Ste 1111Redondo Beach, CA 90277-2167
Phone 310-374-4278
Mailing address
Po Box 91023Pasadena, CA 91109-1023
Phone 818-397-5407
Authorized official
Roseline M Dauphin Baptiste
President/Medical Director
8183975407
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