Regeneration Health, Inc.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

14560 Issued in CA

Legal business name

REGENERATION HEALTH, INC.

Practice address

21515 Hawthorne Blvd
Suite 200
Torrance, CA 90503-6501

Phone

(206) 330-6054

NPI assigned

Apr 27, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Ryan Joseph, DC, NMD

Title

Chief Health Officer

Phone

(206) 330-6054

Specialties & licenses 1

Addresses

Other names 1

• Regeneration Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1124553029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036501",
            "telephone_number": "206-330-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD",
            "address_2": "SUITE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036501",
            "telephone_number": "206-330-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATION HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF HEALTH OFFICER",
        "authorized_official_telephone_number": "206-330-6054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, NMD"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "14560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regeneration",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nutrition Chiropractor in Torrance, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.