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AGELESS MEN'S HEALTH P.C. NPI 1669800645


NPI Information

NPI: 1669800645
Provider Name: AGELESS MEN'S HEALTH, P.C.

Doing Business As: AGELESS MEN'S HEALTH

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2034232

Address:
2750 PARK VIEW CT
SUITE 250
OXNARD, CA
ZIP 93036
Phone: (805) 687-8378
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AGELESS MEN'S HEALTH, P.C. is a specialist in Oxnard, 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, P.C. NPI is 1669800645. 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:

2750 PARK VIEW CT
SUITE 250
OXNARD, CA
ZIP 93036-457
Phone: (805) 687-8378
Fax: (805) 687-8377

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 CLIA number assigned to this NPI record is 05D2034232 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/29/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 11/14/2023

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