Organization · Type 2 NPI

Longevity Healthcare, Inc., A Medical Corporation

Medical Specialty Clinic/Center · Newport Beach, CA

NPI number 1770096547 Active

Practice location

369 San Miguel Dr Ste 100
Newport Beach, CA 92660-7837

Call (805) 704-5705 Map

Mailing address

1024 Bayside Dr Ste 212
Newport Beach, CA 92660-7462

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Medical Specialty Clinic/Center Primary	261QM2500X	None listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1770096547

Longevity Healthcare, Inc., A Medical Corporation's National Provider Identifier is 1770096547, issued on Nov 14, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Newport Beach, CA. The record was last updated on May 13, 2025.