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LONGEVITY MEDICAL CENTER
NPI 1972760213
Family Medicine in Los Angeles, CA

Active since May 22, 2008
2211 CORINTH AVE, #204, LOS ANGELES, CA 90064(310) 966-9194(310) 966-9196 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Longevity Medical Center NPPES

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

LONGEVITY MEDICAL CENTER (NPI 1972760213) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since May 2008. The organization lists Hans D Gruenn, Owner, as its authorized official.

NPPES Registry Identity

NPI1972760213
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLONGEVITY MEDICAL CENTER
Location Address2211 CORINTH AVE, #204Los Angeles, CA 90064-1650
Mailing Address2211 Corinth Ave, #204Los Angeles, CA 90064-1650 · (310) 966-9194 · Fax (310) 966-9196
Phone(310) 966-9194
Fax(310) 966-9196
Organization SubpartNo
Authorized OfficialHans D GruennOwner · (310) 966-9194
Enumeration DateMay 22, 2008
Last NPPES UpdateDecember 22, 2010
✔ NPI 1972760213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A51484
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2211 CORINTH AVE, Los Angeles, CA 90064
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Other Identifiers 2

Medicare UPINW17950CA
Medicare PINW13255CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RACHEL WEST, INC.
Family Medicine
2211 CORINTH AVE, STE 204
LOS ANGELES, CA 90064
Los Angeles County (310) 450-8959
MR. MARC JEFFERY SADOFF MSW, BCD
Social Worker (Clinical)
2211 CORINTH AVE, SUITE 309
LOS ANGELES, CA 90064
Los Angeles County (310) 444-1951
ELYSA WALDHOLZ M.A., LMFT
Marriage & Family Therapist
2211 CORINTH AVE, SUITE#203
LOS ANGELES, CA 90064
Los Angeles County (310) 281-6868
ALANE MILLER HOWELL PH.D.
Psychologist (Clinical)
2211 CORINTH AVE, SUITE 307
LOS ANGELES, CA 90064
Los Angeles County (310) 966-1333
MS. CHRISTIANE SOEHNLEIN
Marriage & Family Therapist
2211 CORINTH AVE, SUITE 203
LOS ANGELES, CA 90064
Los Angeles County (310) 266-4106
CHERYL DEBORAH GRANT MFT
Marriage & Family Therapist
2211 CORINTH AVE, SUITE 203
LOS ANGELES, CA 90064
Los Angeles County (310) 268-2200
MS. KATHLEEN RUSSELL PORT L. AC.
Acupuncturist
2211 CORINTH AVE, SUITE 202
LOS ANGELES, CA 90064
Los Angeles County (310) 230-0280
DR. DAVID R. ALLEN M.D.
Family Medicine
2211 CORINTH AVE, #204
LOS ANGELES, CA 90064
Los Angeles County (310) 966-9194

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 Longevity Medical Center's NPI number?

The NPI number for Longevity Medical Center is 1972760213. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Longevity Medical Center located?

Longevity Medical Center is located at 2211 Corinth Ave #204, Los Angeles, CA 90064. The listed phone number is (310) 966-9194.

What is Longevity Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Longevity Medical Center was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.