LONGEVITY MEDICAL CENTER

LOS ANGELES, CA
NPI1972760213
Entity TypeOrganization
Authorized ContactHANS D GRUENN
Owner
310-966-9194
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A51484)
Enumeration Date2008-05-22
Last Update Date2010-12-22
Business Address
LONGEVITY MEDICAL CENTER
2211 CORINTH AVE #204
LOS ANGELES, CA 90064-1650
Phone number: 310-966-9194
Mailing Address
LONGEVITY MEDICAL CENTER
2211 CORINTH AVE #204
LOS ANGELES, CA 90064-1650
Phone number: 310-966-9194