Active NPI
Regenerative Optimum Health Inc
- Internal Medicine Physician
- Fountain Valley, CA
National Provider Identifier
1023378981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G63738
- Legal business name
- REGENERATIVE OPTIMUM HEALTH INC
- Practice address
- 11180 Warner Ave
Suite 257
Fountain Valley, CA 92708-7501 - Phone
- (714) 885-8980
- Fax
- (714) 434-0790
- NPI assigned
- May 24, 2012
- Last updated
- May 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Evelyne N Llorente, MD
- Title
- President
- Phone
- (714) 885-8980
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G63738 | CA | Primary |
Addresses
Primary practice location
11180 Warner Ave
Suite 257
Fountain Valley, CA 92708-7501
Mailing address
11180 Warner Ave
Suite 257
Fountain Valley, CA 92708-7501
Phone (714) 885-8980
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Huntington Beach, CA
- NPI 1306926423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337817600000",
"number": "1023378981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11180 WARNER AVE",
"address_2": "SUITE 257",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087501",
"telephone_number": "714-885-8980",
"fax_number": "714-434-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11180 WARNER AVE",
"address_2": "SUITE 257",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087501",
"telephone_number": "714-885-8980",
"fax_number": "714-434-0790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENERATIVE OPTIMUM HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-24",
"status": "A",
"authorized_official_last_name": "LLORENTE",
"authorized_official_first_name": "EVELYNE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-885-8980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G63738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.