Longevita Clinic, a Professional Corporation
Longevita Clinic, a Professional Corporation is a Family Medicine Physician in Chatsworth, California. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
21757 Devonshire St Ste 1Chatsworth, CA 91311-2975
Phone: (805) 630-7149
Fax: (888) 981-8739
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
Record details
| NPI number | 1730774076 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Park — Secretary · (805) 368-1293 |
| NPI enumerated | March 9, 2021 |
| Last updated in NPPES | February 24, 2023 |
| Certification date | February 24, 2023 |
| Mailing address | 21757 Devonshire St Ste 1, Chatsworth, CA 91311-2975 |
Other providers in Chatsworth
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Advantage Health Center Inc
10230 Canoga Ave, Chatsworth, CA 91311-3007 · (818) 441-9946
-
Healthy Family Medical Clinic, Inc
21740 Devonshire St, Chatsworth, CA 91311-2903 · (818) 772-6009
-
Northwest Valley Family Medical Clinic, Inc
21119 Devonshire St, Chatsworth, CA 91311 · (818) 727-1974