Tustin Longevity Center

LBN: Tustin Longevity Center
Tustin Longevity Center is an health care organization with primary practice located at 13422 Newport Ave Suite L, Tustin CA 92780-3746. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tustin Longevity Center can be contacted via phone (714) 544-1521, or through Daly, Elaine via phone (714) 544-1521.

Contact Information

Primary practice address
13422 Newport Ave Suite L Tustin CA 92780-3746
Phone: (714) 544-1521
Fax: (714) 544-1904
Website:
Map and Directions
Authorized official contact:
Name: Daly, Elaine
Phone: (714) 544-1521

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1396999280
LBN Legal business name Tustin Longevity Center
DBA Doing business as
Authorized official Daly, Elaine
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2008
Last updated Nov 5th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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