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

South Bay Regenerative Medical Spa Inc

Organization General Practice Physician · NPI 1033733779

South Bay Regenerative Medical Spa Inc provides General Practice Physician services in Redondo Beach, 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

412 S Pacific Coast Hwy Ste 100
Redondo Beach, CA 90277-3712
Phone: (310) 792-9100
Fax: (310) 792-1180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1033733779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Villa — Billing Dept · (805) 474-9053
Other names Body Care Regenerative Medicine
NPI enumeratedMay 28, 2020
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020
Mailing address412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712

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