| Ageless Men's Health, Ca, Pc | |
|
6825 Quail Hill Pkwy Irvine CA 92603-4234 | |
| (949) 854-8378 | |
| (949) 854-8379 |
| Full Name | Ageless Men's Health, Ca, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6825 Quail Hill Pkwy, Irvine, California |
| Authorized Official Name and Position | Teah Michelle Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9012053999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Men's Health, Ca, Pc 9067 Poplar Ave Suite 109 Germantown TN 38138-7851 Ph: (901) 522-6745 | Ageless Men's Health, Ca, Pc 6825 Quail Hill Pkwy Irvine CA 92603-4234 Ph: (949) 854-8378 |
| NPI Number | 1447581095 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 11/13/2023 |
| Medicare PECOS PAC ID | 6002946258 |
|---|---|
| Medicare Enrollment ID | O20100614000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447581095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G081334 (California) | Primary |
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