Ageless Provider Group of California, P.C.
ActiveCalifornia license 558984
License
- Licensed by
- Medical Board of California
- License number
- 558984
- Status
- Active (Current)
- First issued
- March 5, 2025
- Expires
- March 31, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Physicians & Surgeons
More from the license record
- License type code
- 8008
Contact
7050 S Union Park Ave Ste 140
n/a Telehealth
Midvale, UT 84047-4170
n/a Telehealth
Midvale, UT 84047-4170
Salt Lake County