| NPI | 1275209629 |
|---|---|
| Doing Business As | THE FOSS'N XPERTS |
| Doing Business As | SOCAL REGENERATION INC |
| Entity Type | Organization |
| Authorized Contact | CARLOS S MONTALVO Clinic Director 619-917-7766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2026-08-24 |