Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longev

Organization Physical Medicine & Rehabilitation Physician · NPI 1003736877

Longev is a Physical Medicine & Rehabilitation Physician in LA Jolla, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

888 Prospect St Ste 130
LA Jolla, CA 92037-4260
Phone: (619) 363-5132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1003736877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Kalasho — President · (619) 363-5132
NPI enumeratedJuly 20, 2026
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address888 Prospect St Ste 130, La Jolla, CA 92037-4260

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