UNION HILLS REGENERATIVE MEDICINE
NPI 1649923053
Clinic/Center - Pain in Glendale, AZ

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.

Active since January 27, 2022

18301 N 79TH AVE STE F168, GLENDALE, AZ 85308(623) 544-9090 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Pain

About UNION HILLS REGENERATIVE MEDICINE

This page provides the complete NPI Profile along with additional information for Union Hills Regenerative Medicine, a provider established in Glendale, Arizona operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1649923053 assigned on January 2022. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Seth Clark Dpm (Owner)

NPI: 1649923053 Verify this NPI
Provider Name: UNION HILLS REGENERATIVE MEDICINE
Entity Type: Organization
Location Address: 18301 N 79TH AVE STE F168 GLENDALE, AZ 85308
Location Phone: (623) 544-9090
Mailing Address: 18301 N 79TH AVE STE F168 GLENDALE, AZ 85308
Mailing Phone: (623) 544-9090
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-27-2022
Last Update Date: 01-27-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Pain
Taxonomy Code: 261QP3300X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SETH CLARK DPM
Authorized Official Title: OWNER
Authorized Official Phone: (801) 448-4841