| NPI | 1215366455 |
|---|---|
| Doing Business As | SOUTHERN CALIFORNIA CENTER FOR ANTI AGING |
| Entity Type | Organization |
| Authorized Contact | DANIEL PATRICK GOLDSTONE Chief Operating Officer 805-637-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G42196) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |