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Organization
HUMAN LONGEVITY INC
Active
Organization
HUMAN LONGEVITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE CHEN MD (CHIEF CLINICAL OFFICER)
(949) 394-3551
Entity
Organization
Contact information
Practice address
600 GATEWAY BLVD STE 101, SOUTH SAN FRANCISCO, CA 94080-7014
(844) 838-3322
(858) 430-2741
Mailing address
600 GATEWAY BLVD STE 101, SOUTH SAN FRANCISCO, CA 94080-7014
(844) 838-3322
(858) 430-2741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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