Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Longevity Management Group, LLC

Organization Specialist · NPI 1922438886

Longevity Management Group, LLC provides Specialist services in Apple Valley, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15982 Quantico Rd Ste D
Apple Valley, CA 92307-1382 Not confirmed with CMS for 12 years — call before visiting
Phone: (760) 242-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT 26869 (CA)

Record details

NPI number1922438886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Brodbeck — Director · (760) 242-8900
NPI enumeratedNovember 13, 2013
Last updated in NPPESNovember 13, 2013
Mailing address15982 Quantico Rd, Suite D, Apple Valley, CA 92307-1382

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