| NPI | 1124328273 |
|---|---|
| Doing Business As | ANTI-AGING & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | SHIVINDER S DEOL President 661-325-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A37723) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2015-09-16 |