1194450023 AGEREVERSALMD.COM A PROFESSIONAL CORPORATION

Public Health or Welfare Agency

Active

Basic Information

Organization Name
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION
Enumeration Date
July 24, 2022
Last Update
July 24, 2022
Authorized Official
PHILLIP MARK MILGRAM MD
CEO
Phone: (858) 776-0544

Practice Location

Address
3252 HOLIDAY CT STE 211
LA JOLLA, CA 920370027
Phone
(858) 776-0544
Fax
(760) 692-4411

Mailing Address

Address
444 N EL CAMINO REAL SPC 123
ENCINITAS, CA 920241317
Phone
(858) 776-0544
Fax
(760) 692-4411

Specialties & Taxonomies

Specialty Code Classification License State Primary
Gynecology Physician
Gynecology
 207VG0400X Obstetrics & Gynecology N/A N/A No
Primary Care Clinic/Center
Primary Care
 261QP2300X Clinic/Center N/A N/A No
Pain Clinic/Center
Pain
 261QP3300X Clinic/Center N/A N/A No
Public Health or Welfare Agency
 251K00000X Public Health or Welfare N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1285737569 01 CA INDIVIDUAL NPI

Additional Practice Locations

1207 Carlsbad Village Dr Ste Q
Carlsbad, CA 920081958

Phone: (760) 944-9200

Fax: (760) 692-4411

Frequently Asked Questions

What is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's NPI number?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's NPI number is 1194450023.
Which doctor has NPI number 1194450023?
The doctor with NPI number 1194450023 is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION.
What is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's practice address?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's practice address is 3252 HOLIDAY CT STE 211, LA JOLLA, CA, 920370027.
Which doctor practices at 3252 HOLIDAY CT STE 211, LA JOLLA, CA, 920370027?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION practices at 3252 HOLIDAY CT STE 211, LA JOLLA, CA, 920370027.
What is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's mailing address?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's mailing address is 444 N EL CAMINO REAL SPC 123, ENCINITAS, CA, 920241317.
What is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's phone number?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's phone number is (858) 776-0544.
Who is (858) 776-0544?
(858) 776-0544 is the phone number for AGEREVERSALMD.COM A PROFESSIONAL CORPORATION.
What is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's specialty?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION's specialty is Public Health or Welfare Agency.
What type of doctor is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION is a Public Health or Welfare Agency.
Is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION a Public Health or Welfare?
Yes, AGEREVERSALMD.COM A PROFESSIONAL CORPORATION is a Public Health or Welfare.
Is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION still practicing?
Yes, AGEREVERSALMD.COM A PROFESSIONAL CORPORATION is currently practicing.
Is AGEREVERSALMD.COM A PROFESSIONAL CORPORATION accepting new patients?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION may be accepting new patients. Please call their office at (858) 776-0544 to inquire about availability.
Is NPI 1194450023 still active?
Yes, NPI 1194450023 is currently active.
Where does AGEREVERSALMD.COM A PROFESSIONAL CORPORATION practice?
AGEREVERSALMD.COM A PROFESSIONAL CORPORATION practices in LA JOLLA, CA.