LONGEVITY METRICS MEDICAL GROUP INC NPI 1164941092

NPI Information

LONGEVITY METRICS MEDICAL GROUP INC is a clinical genetics (m.d.) medical genetics in Dana Point, CA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. LONGEVITY METRICS MEDICAL GROUP INC NPI is 1164941092. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34145 PACIFIC COAST HWY # 803
DANA POINT, CA
ZIP 92629-808
Phone: (949) 632-2704

The provider's authorized official is Eric Dec .
The authorized official title is Owner and has the following contact phone number (949) 632-2704.

The enumeration date for this NPI number is 9/12/2017 and was last updated on 7/21/2022.

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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