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

Genetic Institute of Anti Aging

Organization Ph.D. Medical Genetics · NPI 1750402574

Genetic Institute of Anti Aging is a Ph.D. Medical Genetics in Costa Mesa, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

720 Paularino Ave Ste 100
Costa Mesa, CA 92626-2940
Phone: (714) 641-2640
Fax: (714) 641-2646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ph.D. Medical Genetics (primary) Taxonomy 170100000X · Licence G77981 (CA)

Record details

NPI number1750402574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammad Kharazmi — Medical Director · (714) 641-2640
NPI enumeratedApril 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address720 Paularino Ave, Suite 100, Costa Mesa, CA 92626-2940

Other providers in Costa Mesa