Organization
LONGEVITY METRICS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DEC MD (OWNER)
(949) 632-2704
Entity
Organization
Contact information
Practice address
34145 PACIFIC COAST HWY # 803, DANA POINT, CA 92629-2808
(949) 632-2704
Mailing address
34145 PACIFIC COAST HWY # 803, DANA POINT, CA 92629-2808
(949) 632-2704
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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