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

O Longevity & Wellness, PLLC

Organization Family Medicine Physician · NPI 1083111371

O Longevity & Wellness, PLLC is a Family Medicine Physician in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9821 N 95th St Ste 101
Scottsdale, AZ 85258-4589
Phone: (480) 416-0403
Fax: (480) 240-5467
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 5305 (AZ)

Record details

NPI number1083111371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ken Ota — Physician · (480) 365-8035
NPI enumeratedApril 12, 2018
Last updated in NPPESAugust 30, 2019
Mailing address9821 N 95th St Ste 101, Scottsdale, AZ 85258-4589

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