AGELESS ALPHA LLC NPI 1730878455

NPI Information

  • NPI: 1730878455
  • Provider Name: AGELESS ALPHA LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1289 S BRIDGEGATE DR
    GILBERT, AZ
    ZIP 85296
  • Phone: (575) 574-7338

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NPI Details

AGELESS ALPHA LLC is a primary care clinic center in Gilbert, AZ. AGELESS ALPHA LLC NPI is 1730878455. The provider is registered as an organization entity type.

The provider's business location address is:

1289 S BRIDGEGATE DR
GILBERT, AZ
ZIP 85296-227
Phone: (575) 574-7338

The provider's authorized official is Jesse Cisneros Jimenez .
The authorized official title is Ceo and has the following contact phone number (575) 574-7338.

The enumeration date for this NPI number is 5/8/2023 and was last updated on 5/8/2023.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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