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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LONGEVITY MEDICAL CLINIC

Active Organization

LONGEVITY MEDICAL CLINIC is a Specialist organization located in KIRKLAND, Washington. NPI 1023231172 is currently active in the NPPES registry. Verify at CMS.

Specialist · KIRKLAND, WA

Registration Details

NPI Number
1023231172
Provider Type
Organization
NPI Issued
Apr 10, 2007 (19.33414731096 yrs)
Last Updated
Jun 21, 2011
License
MD23643 (WA)

Practice Information

Address
9757 NE JUANITA DR
SUITE 200
KIRKLAND, WA, 980344299
Browse WA providers · Browse ZIP 98034
Phone
4255769272
Fax
4255760894
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.