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Organization
PACIFIC ANTI AGING MEDICAL GROUP, INC.
Active
Organization
PACIFIC ANTI AGING MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON C. MCCARROLL (CEO/OWNER)
(310) 272-4395
Entity
Organization
Contact information
Practice address
215 S LA CIENEGA BLVD STE 207, BEVERLY HILLS, CA 90211-3322
(310) 272-4395
(866) 284-5217
Mailing address
215 S LA CIENEGA BLVD STE 207, BEVERLY HILLS, CA 90211-3322
(310) 272-4395
(866) 284-5217
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
07/23/2020
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