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SOUTH BAY REGENERATIVE MEDICAL SPA INC
NPI 1033733779
General Practice in Redondo Beach, CA

Active since May 28, 2020
412 S PACIFIC COAST HWY STE 100, REDONDO BEACH, CA 90277(310) 792-9100(310) 792-1180 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Bay Regenerative Medical Spa Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BAY REGENERATIVE MEDICAL SPA INC (NPI 1033733779), doing business as Body Care Regenerative Medicine, is a healthcare organization registered as a general practice in Redondo Beach, California and active in the NPI registry since May 2020. The organization lists Michelle Villa, Billing Dept, as its authorized official.

NPPES Registry Identity

NPI1033733779
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH BAY REGENERATIVE MEDICAL SPA INC
Location Address412 S PACIFIC COAST HWY STE 100Redondo Beach, CA 90277-3712
Mailing Address412 S Pacific Coast Hwy Ste 100Redondo Beach, CA 90277-3712 · (310) 792-9100 · Fax (310) 792-1180
Phone(310) 792-9100
Fax(310) 792-1180
Organization SubpartNo
Authorized OfficialMichelle VillaBilling Dept · (805) 474-9053
Enumeration DateMay 28, 2020
NPPES CertifiedMay 28, 2020
✔ NPI 1033733779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
412 S PACIFIC COAST HWY STE 100, Redondo Beach, CA 90277
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Other Names 1

Doing Business AsBody Care Regenerative Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Bay Regenerative Medical Spa Inc's NPI number?

The NPI number for South Bay Regenerative Medical Spa Inc is 1033733779. It was assigned to this organization in the NPPES registry on May 28, 2020. The provider is doing business as Body Care Regenerative Medicine.

Where is South Bay Regenerative Medical Spa Inc located?

South Bay Regenerative Medical Spa Inc is located at 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277. The listed phone number is (310) 792-9100.

What is South Bay Regenerative Medical Spa Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for South Bay Regenerative Medical Spa Inc was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.