Agereversalmd.com a Professional Corporation
NPI #1194450023 in La Jolla, California
Provider Information
- NPI Number
- 1194450023
- Entity Type
- Organization
- Organization Name
- Agereversalmd.com a Professional Corporation
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Jul 24, 2022
- Last Updated
- Jul 24, 2022
Practice Location
- Address
- 3252 HOLIDAY CT STE 211
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-0027
- Phone
- (858) 776-0544
Authorized Official
- Name
- PHILLIP MARK MILGRAM, MD
- Title
- CEO
- Phone
- (858) 776-0544
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecology — Gynecology |
| Clinic/Center - Primary Care — Primary Care |
| Clinic/Center - Pain — Pain |
| Public Health or Welfare |
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