AGELESS MEN'S HEALTH CA PC – NPI #1245561828
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

AGELESS MEN'S HEALTH CA PC is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1245561828 to AGELESS MEN'S HEALTH CA PC on January 21, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Nov 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGELESS MEN'S HEALTH CA PC below.

NPI Profile for
AGELESS MEN'S HEALTH CA PC

NPI Number
1245561828
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AGELESS MEN'S HEALTH CA PC
Primary location
11633 SAN VINCENTE BLVD
SUITE 214
LOS ANGELES, CA 90049
Phone: (310) 979-8378 Fax: (310) 979-8379
Mailing address
Same as primary location
Organization Subpart
Yes - AGELESS MEN'S HEALTH CA PC is subpart of another organization.
Authorized Official
AMANDA WILKINSON
BUSINESS OPERATIONS DIRECTOR
Phone: (702) 818-0446
Updated
Certification Date
Nov 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 CA PA13875

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.