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

Tustin Longevity Center

Organization Family Medicine Physician · NPI 1396999280

Tustin Longevity Center is a Family Medicine Physician in Tustin, California. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

13422 Newport Ave Ste L
Tustin, CA 92780-3746
Phone: (714) 544-1521
Fax: (714) 544-1904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1396999280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elaine Daly — Office Manager · (714) 544-1521
NPI enumeratedNovember 5, 2008
Last updated in NPPESNovember 5, 2008
Mailing address13422 Newport Ave, Suite L, Tustin, CA 92780-3746

Other providers in Tustin