Tustin Longevity Center
Tustin Longevity Center is a Preferred Provider Organization in Tustin, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
13422 Newport Ave Ste LTustin, CA 92780-3746
Phone: (714) 544-1521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence G83575 (CA) |
|---|
Record details
| NPI number | 1023558210 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rita Ellithorpe — Medical Director · (714) 544-1521 |
| NPI enumerated | March 7, 2017 |
| Last updated in NPPES | March 7, 2017 |
| Mailing address | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 |
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