Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tustin Longevity Center

Organization Family Medicine Physician · NPI 1396999280

Tustin Longevity Center provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (714) 544-1521
Fax: (714) 544-1904
Show map & directions

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

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