1. Home
  2. Directory
  3. California
  4. Beverly Hills
  5. Specialist
  6. NPI Profile

PACIFIC ANTI AGING MEDICAL GROUP, INC.
NPI 1144782939
Specialist in Beverly Hills, CA

Active since April 02, 2019
215 S LA CIENEGA BLVD STE 207, BEVERLY HILLS, CA 90211(310) 272-4395(866) 284-5217 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2020, Apr 2, 2019 (2 updates tracked since 2019).

About Pacific Anti Aging Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC ANTI AGING MEDICAL GROUP, INC. (NPI 1144782939) is a healthcare organization registered as a specialist in Beverly Hills, California and active in the NPI registry since April 2019. The organization lists Landon C. Mccarroll, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1144782939
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePACIFIC ANTI AGING MEDICAL GROUP, INC.
Location Address215 S LA CIENEGA BLVD STE 207Beverly Hills, CA 90211-3322
Mailing Address215 S La Cienega Blvd Ste 207Beverly Hills, CA 90211-3322 · (310) 272-4395 · Fax (866) 284-5217
Phone(310) 272-4395
Fax(866) 284-5217
Organization SubpartNo
Authorized OfficialLandon C. MccarrollCeo/owner · (310) 272-4395
Enumeration DateApril 2, 2019
Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
✔ NPI 1144782939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

215 S LA CIENEGA BLVD STE 207, Beverly Hills, CA 90211
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEMIJON LINGAD DICEN
Physician Assistant
215 S LA CIENEGA BLVD STE 207
BEVERLY HILLS, CA 90211
Los Angeles County (310) 272-4395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Anti Aging Medical Group, Inc.'s NPI number?

The NPI number for Pacific Anti Aging Medical Group, Inc. is 1144782939. It was assigned to this organization in the NPPES registry on April 2, 2019.

Where is Pacific Anti Aging Medical Group, Inc. located?

Pacific Anti Aging Medical Group, Inc. is located at 215 S La Cienega Blvd Ste 207, Beverly Hills, CA 90211. The listed phone number is (310) 272-4395.

What is Pacific Anti Aging Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pacific Anti Aging Medical Group, Inc. was last updated on July 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.