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

Longevity Management Group, LLC

Organization Specialist · NPI 1922438886

Longevity Management Group, LLC is a Specialist 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
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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