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

Pacific Anti Aging Medical Group, Inc

Organization Specialist · NPI 1144782939

Pacific Anti Aging Medical Group, Inc is a Specialist in Beverly Hills, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 S La Cienega Blvd Ste 207
Beverly Hills, CA 90211-3322
Phone: (310) 272-4395
Fax: (866) 284-5217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1144782939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Landon McCarroll — Ceo/Owner · (310) 272-4395
NPI enumeratedApril 2, 2019
Last updated in NPPESJuly 23, 2020
Certification dateJuly 23, 2020
Mailing address215 S La Cienega Blvd Ste 207, Beverly Hills, CA 90211-3322

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