So Cal Regenerative Medical Clinics Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A83402 Issued in CA

Legal business name

SO CAL REGENERATIVE MEDICAL CLINICS INC

Practice address

2361 S Azusa Ave
West Covina, CA 91792-1537

Phone

(626) 965-2334

NPI assigned

Jan 19, 2018

Organization subpart

Yes

Parent organization

SO CAL REGENERATIVE MEDICAL CLINICS INCAs reported in NPPES

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

Authorized official

Name

Richard Rowley

Title

Employee

Phone

(626) 965-2334

Specialties & licenses 1

Addresses

Part of

West Covina

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Edward Humiston, M.D.

  • Family Medicine Physician
  • Carmel, IN
  • NPI 1841507605
  NPD

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1457869877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 S AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 S AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921537",
            "telephone_number": "626-965-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO CAL REGENERATIVE MEDICAL CLINICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SO CAL REGENERATIVE MEDICAL CLINICS INC",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "626-965-2334"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A83402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SMH Consulting Inc
• Michael R Smith, MSW
• Monique Smith
• Walif Smith
• SNP Pharmacy LLC
• Datar Singh Sodhi, M.D.
• Esther Soleimani Shim, LCSW
• Desiree Solis
• Daniel Solomin, D.O.
• Elena Solorzano, PPS

• Internal Medicine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.