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

Longevity Medical Center

Organization Family Medicine Physician · NPI 1972760213

Longevity Medical Center is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

2211 Corinth Ave #204
Los Angeles, CA 90064-1650
Phone: (310) 966-9194
Fax: (310) 966-9196
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A51484 (CA)

Record details

NPI number1972760213
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hans Gruenn — Owner · (310) 966-9194
NPI enumeratedMay 22, 2008
Last updated in NPPESDecember 22, 2010
Mailing address2211 Corinth Ave, 204, Los Angeles, CA 90064-1650

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