SO CAL REGENERATIVE MEDICAL CLINICS INC (NPI# 1457869877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457869877 |
| Entity Type | Organization |
| Organization Name | SO CAL REGENERATIVE MEDICAL CLINICS INC |
| Practice Address |
2361 S Azusa Ave West Covina CA 91792-1537 |
| Practice Telephone | 6269652334 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | RICHARD ROWLEY (EMPLOYEE) |
| Authorized Official Telephone | 6269652334 |
| Is Organization Subpart | Y |
| Parent Organization Name | SO CAL REGENERATIVE MEDICAL CLINICS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A83402 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104337740 | So Cal Regenerative Medical Clinics Inc | Clinic/Center | 843 S State College Blvd, Anaheim, CA 92806-4613 | 2017-10-23 |
| Street Address |
2361 S AZUSA AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91792-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003909409 | Andrew J. Keith | Chiropractor | 2361 S Azusa Ave, West Covina, CA 91792-1537 | 2006-09-30 |
| 1063923662 | Richard Rowley | Chiropractor | 2361 S Azusa Ave, West Covina, CA 91792-1537 | 2017-10-23 |
| 1861876633 | Regen Ortho Clinic | Chiropractor | 2361 S Azusa Ave, West Covina, CA 91792-1537 | 2015-07-11 |
| 1073749495 | Optimal Spine & Health Medical Center, Inc. | Chiropractor | 2361 S Azusa Ave, West Covina, CA 91792-1537 | 2009-06-01 |
| 1912141383 | Julia Ching Hui Su | Acupuncturist | 2361 S Azusa Ave, West Covina, CA 91792-1537 | 2009-04-28 |
| 1861699621 | Craig Chase | Physician Assistant | 2361 S Azusa Ave, West Covina, CA 91792-1537 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972160083 | Banaria Dental Group Inc | Dentist | 1550 E. Amar Road Suite V, West Covina, CA 91792 | 2019-05-23 |
| 1174040570 | John Paul Yee | Nurse Practitioner | 3700 Colorado St, West Covina, CA 91792 | 2017-08-25 |
| 1982062584 | Debra Robinson | Occupational Therapy Assistant | 2445 Arline Street, West Covina, CA 91792 | 2016-02-10 |
| 1427326503 | Ritzcare Health Services | Respite Care | 2707 E. Balley Blvd, Suite 307a, West Covina, CA 91792 | 2011-12-05 |
| 1164702478 | Arwin Kalaw | Nurse Practitioner | 1312 Oahu Street, West Covina, CA 91792 | 2011-08-18 |
| 1003110701 | Alexander Cariaga | Physical Therapy Assistant | 3532 Hedgerow Dr, West Covina, CA 91792 | 2011-01-10 |
| 1972831162 | Eternally Yours Hospice, Inc. | Hospice Care, Community Based | 2550 E. Amar Rd., Unit A1-g, West Covina, CA 91792 | 2009-11-26 |
| 1588830228 | Jun Li | Dentist | 2707 E. Valley Blvd., #301, West Covina, CA 91792 | 2008-05-02 |
| 1093991713 | Imelda Diaz Soto | Dentist | 1031 E Amar Rd, West Covina, CA 91792 | 2008-01-11 |
| 1588849608 | Sarah Jane Dancel-atendido | Dentist | 2707 E. Valley Blvd., Suite 200, West Covina, CA 91792 | 2008-01-08 |
| Find all providers in zip 91792 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679098834 | Linda Y. Shen, Md | Internal Medicine | 2707 E Valley Blvd Ste 203, West Covina, CA 91792-3197 | 2017-08-09 |
| 1063714053 | V.m.cortes,m.d.,inc. | Internal Medicine | 1557 E Amar Rd Ste F, West Covina, CA 91792-1678 | 2010-11-23 |
| 1871720904 | Azab Medical Associates Inc | Internal Medicine | 1019 Highlight Dr, West Covina, CA 91791-3491 | 2009-06-16 |
| 1992941397 | Sam Ahdab | Internal Medicine | 1433 W Merced Ave Ste 311, West Covina, CA 91790 | 2009-01-06 |
| 1720278252 | Forest Searls Tennant Jr. | Internal Medicine | 338 So Glendora Ave, West Covina, CA 91790-3043 | 2007-07-31 |
| 1659561645 | Binh Le Tran-lei | Internal Medicine | 3048 East Cindy St, West Covina, CA 91792-2007 | 2007-07-26 |
| 1922130442 | R&m Medical Group, Inc. | Internal Medicine | 1028 E Walnut Creek Pkwy, West Covina, CA 91790-3072 | 2007-03-10 |
| 1821128224 | Anil Gupta Md Inc | Internal Medicine | 417 E Merced Ave, West Covina, CA 91790-5023 | 2007-03-06 |
| 1689735953 | Jae M Kim | Internal Medicine | 1433 W Merced Ave., Suite 217, West Covina, CA 91790-5058 | 2006-12-12 |
| 1225106693 | Hee Yong Oh | Internal Medicine | 1433 W Merced Ave Ste 207, West Covina, CA 91790-3402 | 2006-12-01 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91792 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.