Southern California Center for Anti Aging, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G42196 Issued in CA

Legal business name

SOUTHERN CALIFORNIA CENTER FOR ANTI AGING, INC.

Practice address

23823 Hawthorne Blvd
Torrance, CA 90505-5907

Phone

(424) 247-4962

NPI assigned

Nov 7, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel Patrick Goldstone

Title

Chief Operating Officer

Phone

(805) 637-0232

Specialties & licenses 1

Addresses

Other names 1

• SOUTHERN CALIFORNIA CENTER FOR ANTI AGING Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• April D Goebel, D.C

  • Chiropractor
  • Torrance, CA
  • NPI 1124219878
  NPD (past)
• Judi Goldstone, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1215131719
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1215366455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055907",
            "telephone_number": "424-247-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055907",
            "telephone_number": "424-247-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA CENTER FOR ANTI AGING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "GOLDSTONE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "805-637-0232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G42196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHERN CALIFORNIA CENTER FOR ANTI AGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southern California Bariatric Group, Inc.
• Southern California Caregiving Services, Inc.
• Southern California Drug Diversion
• Southern California Drug Diversion
• Southern California Pain Consultants Inc
• Southland Chiropractic
• Southwood Optometric Corporation

• Medical Specialty Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.