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

Southern California Regenerative Medical Inc

Organization Pain Medicine Physician · NPI 1174097612

Southern California Regenerative Medical Inc provides Pain Medicine Physician services in Oceanside, California. Registered with an NPI since 2019.

In the registry since
2019
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

2111 S El Camino Real Ste 200
Oceanside, CA 92054-9000
Phone: (760) 722-3202
Fax: (760) 979-0018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1174097612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Minu Sharma — Chairman · (760) 722-3202
NPI enumeratedJanuary 17, 2019
Last updated in NPPESApril 1, 2019
Mailing address2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000

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