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Organization

AGELESS MEN'S HEALTH CA PC

Active
Parent organization
AGELESS MEN'S HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
AGELESS MEN'S HEALTH
Authorized official
AMANDA WILKINSON (BUSINESS OPERATIONS DIRECTOR)
(702) 818-0446
Entity
Organization

Contact information

Practice address
11633 SAN VINCENTE BLVD, SUITE 214, LOS ANGELES, CA 90049
(310) 979-8378
(310) 979-8379
Mailing address
11633 SAN VINCENTE BLVD, SUITE 214, LOS ANGELES, CA 90049
(310) 979-8378
(310) 979-8379

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PA13875
CA

Other

Enumeration date
01/21/2010
Last updated
11/11/2024
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