Organization
GENETIC INSTITUTE OF ANTI AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD SAEED KHARAZMI MD (MEDICAL DIRECTOR)
(714) 641-2640
Entity
Organization
Contact information
Practice address
720 PAULARINO AVE, SUITE 100, COSTA MESA, CA 92626-2940
(714) 641-2640
(714) 641-2646
Mailing address
720 PAULARINO AVE, SUITE 100, COSTA MESA, CA 92626-2940
(714) 641-2640
(714) 641-2646
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
G77981
CA
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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