| Tustin Longevity Center | |
|
13422 Newport Ave Suite L Tustin CA 92780-3746 | |
| (714) 544-1521 | |
| (714) 544-1904 |
| Full Name | Tustin Longevity Center |
|---|---|
| Speciality | Family Medicine |
| Location | 13422 Newport Ave, Tustin, California |
| Authorized Official Name and Position | Elaine Daly (OFFICE MANAGER) |
| Authorized Official Contact | 7145441521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tustin Longevity Center 13422 Newport Ave Suite L Tustin CA 92780-3746 Ph: (714) 544-1521 | Tustin Longevity Center 13422 Newport Ave Suite L Tustin CA 92780-3746 Ph: (714) 544-1521 |
| NPI Number | 1396999280 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 11/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396999280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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