Organization · Type 2 NPI

Healthy Longevity Medical Center

Clinic/Center · Carson, CA

NPI number 1912690132 Active

Practice location

441 E Carson St Ste K
Carson, CA 90745-7713

Mailing address

552 E Carson St Apt 409
Carson, CA 90745-2890

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1912690132

Healthy Longevity Medical Center's National Provider Identifier is 1912690132, issued on Jun 1, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Carson, CA. The record was last updated on Jun 8, 2023.