OrganizationActive
Genetic Institute of Anti Aging
NPI 1750402574 · Ph.D. Medical Genetics · Costa Mesa, CA
Provider details
- NPI number
- 1750402574
- Entity type
- Organization
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Organization subpart
- No
- Authorized official
- Mohammad Kharazmi, Medical Director(714) 641-2640
- License
- G77981 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
720 Paularino Ave
Suite 100
Costa Mesa, CA 92626-2940
Phone: (714) 641-2640
Fax: (714) 641-2646
Street-level locationGet directions
Mailing address
720 Paularino Ave
Costa Mesa, CA 92626-2940
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.