NPI 1205519519
IV Regeneration Room
Practice location
- Address
- 4533 Macarthur Blvd STE A109, Newport Beach, CA 92660-2059
- Phone
- (949) 216-0117
- Mailing address
- 4533 Macarthur Blvd STE a, Newport Beach, CA 92660-2061
Authorised official
- Name
- Sanjai Thankachen
- Title
- Medical Director
- Phone
- (949) 324-9300
Registered specialties
Home Infusion Agency
Primary
Registry record
- NPI
- 1205519519
- Entity type
- Organization
- NPI issued
- 11 Aug 2023
- Record last updated
- 25 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.