GENETIC INSTITUTE OF ANTI AGING NPI 1750402574

NPI Information

GENETIC INSTITUTE OF ANTI AGING is a medical genetics phd medical genetics in Costa Mesa, CA. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. GENETIC INSTITUTE OF ANTI AGING NPI is 1750402574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

720 PAULARINO AVE
SUITE 100
COSTA MESA, CA
ZIP 92626-940
Phone: (714) 641-2640
Fax: (714) 641-2646

The provider's authorized official is Mohammad Saeed Kharazmi .
The authorized official title is Medical Director and has the following contact phone number (714) 641-2640.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

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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