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Organization

LONGEVITY MEDICAL CENTER

Active
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Organization

LONGEVITY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HANS D GRUENN M.D. (OWNER)
(310) 966-9194
Entity
Organization

Contact information

Practice address
2211 CORINTH AVE, #204, LOS ANGELES, CA 90064-1650
(310) 966-9194
(310) 966-9196
Mailing address
2211 CORINTH AVE, #204, LOS ANGELES, CA 90064-1650
(310) 966-9194
(310) 966-9196

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A51484
CA

Other

Enumeration date
05/22/2008
Last updated
12/22/2010
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