OrganizationActive
Ageless Alpha LLC
NPI 1730878455 · Primary Care Clinic/Center · Gilbert, AZ
Provider details
- NPI number
- 1730878455
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jesse Jimenez, Ceo(575) 574-7338
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1289 S Bridgegate Dr
Gilbert, AZ 85296-8227
Phone: (575) 574-7338
Approximate (ZIP-level) locationGet directions
Mailing address
1289 S Bridgegate Dr
Gilbert, AZ 85296-8227
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.