Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ageless Men's Health Ca PC

Organization Internal Medicine Physician · NPI 1245561828

Ageless Men's Health Ca PC is an Internal Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

11633 San Vincente Blvd Ste 214
Los Angeles, CA 90049
Phone: (310) 979-8378
Fax: (310) 979-8379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence PA13875 (CA)

Record details

NPI number1245561828
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAgeless Men's Health
Authorized official Amanda Wilkinson — Business Operations Director · (702) 818-0446
NPI enumeratedJanuary 21, 2010
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address11633 San Vincente Blvd, Suite 214, Los Angeles, CA 90049

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