OrganizationActive
So Cal Regenerative Medical Clinics Inc
NPI 1104337740 · Medical Specialty Clinic/Center · Anaheim, CA
Provider details
- NPI number
- 1104337740
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Keith, Owner/Partner(626) 965-2334
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
843 S State College Blvd
Anaheim, CA 92806-4613
Phone: (626) 715-9820
Street-level locationGet directions
Mailing address
843 S State College Blvd
Anaheim, CA 92806-4613
Registry dates
- Enumerated
- 2017-10-23
- Last updated
- 2017-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.