AGELESS MEN'S HEALTH CA PPC NPI 1083052864

NPI Information

AGELESS MEN'S HEALTH CA PPC is a specialist in Long Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AGELESS MEN'S HEALTH CA PPC NPI is 1083052864. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ageless Men's Health.

The provider's business location address is:

6615 E PACIFIC COAST HWY
200
LONG BEACH, CA
ZIP 90803-211
Phone: (949) 854-8378
Fax: (949) 854-8379

The provider's authorized official is Melissa C Mcclellan .
The authorized official title is Vp Of Business Operations and has the following contact phone number (901) 757-3643.

The enumeration date for this NPI number is 6/13/2013 and was last updated on 6/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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