Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pacific Anti Aging Medical Group, Inc

Organization Specialist · NPI 1144782939

Pacific Anti Aging Medical Group, Inc provides Specialist services 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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