AGELESS MEN'S HEALTH CA PC NPI 1538583208

NPI Information

  • NPI: 1538583208
  • Provider Name: AGELESS MEN'S HEALTH CA, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: AGELESS MEN'S HEALTH
  • Address: 11940 FOOTHILL BLVD
    SUITE 208
    RANCHO CUCAMONGA, CA
    ZIP 91739
  • Phone: (901) 757-3643

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NPI Details

AGELESS MEN'S HEALTH CA, PC is a specialist in Rancho Cucamonga, 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, PC NPI is 1538583208. 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:

11940 FOOTHILL BLVD
SUITE 208
RANCHO CUCAMONGA, CA
ZIP 91739-374
Phone: (901) 757-3643
Fax: (901) 757-7762

The provider's authorized official is Amanda Wilkinson .
The authorized official title is Business Operations Director and has the following contact phone number (702) 818-0446.

The enumeration date for this NPI number is 2/14/2014 and was last updated on 11/11/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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