OrganizationActive
Southern California Center for Anti Aging, Inc.
NPI 1215366455 · Medical Specialty Clinic/Center · Torrance, CA
Provider details
- NPI number
- 1215366455
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Goldstone, Chief Operating Officer(805) 637-0232
- License
- G42196 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
23823 Hawthorne Blvd
Torrance, CA 90505-5907
Phone: (424) 247-4962
Street-level locationGet directions
Mailing address
23823 Hawthorne Blvd
Torrance, CA 90505-5907
Other names (DBA / former)
- Doing business as
- Southern California Center for Anti Aging
Registry dates
- Enumerated
- 2013-11-07
- Last updated
- 2013-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.