Organization Active NPI

Regentox LLC

  • Specialist
  • Westminster, CA
National Provider Identifier
1932161007
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
REGENTOX LLC
Practice address
9191 Bolsa Ave Ste 207
Westminster, CA 92683-5561
Phone
(714) 622-4125
Fax
(714) 622-4125
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Therresa Anhdao Ngoc Quach
Title
Director
Phone
(714) 465-9599

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC6261 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

9191 Bolsa Ave Ste 207
Westminster, CA 92683-5561

Mailing address

9191 Bolsa Ave Ste 207
Westminster, CA 92683-5561
Phone (714) 622-4125

Other practice location 1

18682 Beach Blvd Ste 165
Huntington Beach, CA 92648-2076
Phone (714) 465-9599

Other identifiers 1

IdentifierTypeStateIssuer
AC0062610OtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • MB Laser Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL americanbeamclinic.com Other

National Provider Directory

National Provider Directory

Locations

10141 Westminster Ave
Ste O
Garden Grove, CA 92843

9191 Bolsa Ave
Ste 207
Westminster, CA 92683
Phone (714) 622-4125

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1932161007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 BOLSA AVE STE 207",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835561",
            "telephone_number": "714-622-4125",
            "fax_number": "714-622-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 BOLSA AVE STE 207",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835561",
            "telephone_number": "714-622-4125",
            "fax_number": "714-622-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18682 Beach Blvd Ste 165",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482076",
            "country_code": "US",
            "telephone_number": "714-465-9599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENTOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "THERRESA ANHDAO",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-465-9599"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6261",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "AC0062610",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "americanbeamclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "abcmed.us",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "telemedicine",
            "address_1": "18682 Beach Blvd Ste 165",
            "city": "Huntington Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926482076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MB Laser Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.