1023558210 TUSTIN LONGEVITY CENTER

Preferred Provider Organization

Active

Basic Information

Organization Name
TUSTIN LONGEVITY CENTER
Enumeration Date
March 7, 2017
Last Update
March 7, 2017
Authorized Official
RITA R ELLITHORPE MD
MEDICAL DIRECTOR
Phone: (714) 544-1521

Practice Location

Address
13422 NEWPORT AVE
SUITE L
TUSTIN, CA 927803746
Phone
(714) 544-1521

Mailing Address

Address
13422 NEWPORT AVE
SUITE L
TUSTIN, CA 927803746
Phone
(714) 544-1521

Specialties & Taxonomies

Specialty Code Classification License State Primary
Preferred Provider Organization
305R00000X Preferred Provider Organization G83575 CA Primary

Frequently Asked Questions

What is TUSTIN LONGEVITY CENTER's NPI number?
TUSTIN LONGEVITY CENTER's NPI number is 1023558210.
Which doctor has NPI number 1023558210?
The doctor with NPI number 1023558210 is TUSTIN LONGEVITY CENTER.
What is TUSTIN LONGEVITY CENTER's practice address?
TUSTIN LONGEVITY CENTER's practice address is 13422 NEWPORT AVE, SUITE L, TUSTIN, CA, 927803746.
Which doctor practices at 13422 NEWPORT AVE, SUITE L, TUSTIN, CA, 927803746?
TUSTIN LONGEVITY CENTER practices at 13422 NEWPORT AVE, SUITE L, TUSTIN, CA, 927803746.
What is TUSTIN LONGEVITY CENTER's phone number?
TUSTIN LONGEVITY CENTER's phone number is (714) 544-1521.
Who is (714) 544-1521?
(714) 544-1521 is the phone number for TUSTIN LONGEVITY CENTER.
What is TUSTIN LONGEVITY CENTER's specialty?
TUSTIN LONGEVITY CENTER's specialty is Preferred Provider Organization.
What type of doctor is TUSTIN LONGEVITY CENTER?
TUSTIN LONGEVITY CENTER is a Preferred Provider Organization.
Is TUSTIN LONGEVITY CENTER a Preferred Provider Organization?
Yes, TUSTIN LONGEVITY CENTER is a Preferred Provider Organization.
Is TUSTIN LONGEVITY CENTER still practicing?
Yes, TUSTIN LONGEVITY CENTER is currently practicing.
Is TUSTIN LONGEVITY CENTER accepting new patients?
TUSTIN LONGEVITY CENTER may be accepting new patients. Please call their office at (714) 544-1521 to inquire about availability.
Is NPI 1023558210 still active?
Yes, NPI 1023558210 is currently active.
Where does TUSTIN LONGEVITY CENTER practice?
TUSTIN LONGEVITY CENTER practices in TUSTIN, CA.