| NPI | 1780040477 |
|---|---|
| Doing Business As | AGELESS MD |
| Entity Type | Organization |
| Authorized Contact | TJ J TSAY President/Owner 714-760-9918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-12-07 |