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LONGEVITA CLINIC, A PROFESSIONAL CORPORATION
NPI 1730774076
Internal Medicine in Chatsworth, CA

Active since March 09, 2021
21757 DEVONSHIRE ST STE 1, CHATSWORTH, CA 91311(805) 630-7149(888) 981-8739 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Mar 9, 2021 (2 updates tracked since 2021).

About Longevita Clinic, A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITA CLINIC, A PROFESSIONAL CORPORATION (NPI 1730774076) is a healthcare organization registered as an internal medicine in Chatsworth, California and active in the NPI registry since March 2021. The organization lists Richard Park, Secretary, as its authorized official.

NPPES Registry Identity

NPI1730774076
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLONGEVITA CLINIC, A PROFESSIONAL CORPORATION
Location Address21757 DEVONSHIRE ST STE 1Chatsworth, CA 91311-2975
Mailing Address21757 Devonshire St Ste 1Chatsworth, CA 91311-2975 · (818) 678-9875 · Fax (747) 200-2589
Phone(805) 630-7149
Fax(888) 981-8739
Organization SubpartNo
Authorized OfficialRichard ParkSecretary · (805) 368-1293
Enumeration DateMarch 9, 2021
Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1730774076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
21757 DEVONSHIRE ST STE 1, Chatsworth, CA 91311
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longevita Clinic, A Professional Corporation's NPI number?

The NPI number for Longevita Clinic, A Professional Corporation is 1730774076. It was assigned to this organization in the NPPES registry on March 9, 2021.

Where is Longevita Clinic, A Professional Corporation located?

Longevita Clinic, A Professional Corporation is located at 21757 Devonshire St Ste 1, Chatsworth, CA 91311. The listed phone number is (805) 630-7149.

What is Longevita Clinic, A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Longevita Clinic, A Professional Corporation was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.