Lifespan The Center For Aging And Regenerative Medicine

LBN: Lifespan The Center For Aging And Regenerative Medicine
Lifespan The Center For Aging And Regenerative Medicine is an health care organization with primary practice located at 1465 Victor Ave Suite A, Redding CA 96003-4856. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Lifespan The Center For Aging And Regenerative Medicine can be contacted via phone (530) 605-4557, or through Goodman, Daniel via phone (530) 605-4557.

Contact Information

Primary practice address
1465 Victor Ave Suite A Redding CA 96003-4856
Fax: (530) 605-4531
Website:
Authorized official contact:
Name: Goodman, Daniel Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G63650 California

Profile Details

NPI number 1447504147
LBN Legal business name Lifespan The Center For Aging And Regenerative Medicine
DBA Doing business as
Authorized official Goodman, Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2012
Last updated Dec 3rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447504147 NPPES
California Other 3502786 ARTICLES OF INC

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