LONGEVITY MANAGEMENT GROUP LLC NPI 1922438886

NPI Information

LONGEVITY MANAGEMENT GROUP, LLC is a specialist in Apple Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LONGEVITY MANAGEMENT GROUP, LLC NPI is 1922438886. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15982 QUANTICO RD
SUITE D
APPLE VALLEY, CA
ZIP 92307-382
Phone: (760) 242-8900

The provider's authorized official is Christina Brodbeck .
The authorized official title is Director and has the following contact phone number (760) 242-8900.

The enumeration date for this NPI number is 11/13/2013 and was last updated on 11/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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