Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Regenerative Medical Group Inc

Organization Family Medicine Physician · NPI 1366051419

Regenerative Medical Group Inc provides Family Medicine Physician services in Idyllwild, California. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

54910 Pine Crest Ave
Idyllwild, CA 92549
Phone: (951) 659-9912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366051419
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRegenerative Medical Group Inc
Authorized official Bryn Henderson — Owner · (714) 639-4012
NPI enumeratedJuly 24, 2020
Last updated in NPPESJuly 24, 2020
Certification dateJuly 24, 2020
Mailing address54910, Pine Crest Avenue, Idyllwild, CA 92549

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