Provider Demographics
NPI:1013932508
Name:REGAN, JOHN JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JAMES
Last Name:REGAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2811 WILSHIRE BLVD STE 930
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4803
Mailing Address - Country:US
Mailing Address - Phone:310-881-3730
Mailing Address - Fax:310-496-1386
Practice Address - Street 1:120 S SPALDING DR STE 400
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1842
Practice Address - Country:US
Practice Address - Phone:310-385-8010
Practice Address - Fax:310-385-8040
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2021-10-18
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Provider Licenses
StateLicense IDTaxonomies
CAG85966207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine