AGELESS MEN'S HEALTH CA PC
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1245561828- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11633 SAN VINCENTE BLVD SUITE 214, LOS ANGELES, CA, 90049
- Phone
- (310) 979-8378
- Fax
- (310) 979-8379
Specialties & Taxonomies
Internal Medicine
Primary License: CA #PA13875