Organization
LONGEVITY HEALTHCARE, INC., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOHN MURAN MD (PRESIDENT)
(805) 704-5705
Entity
Organization
Contact information
Practice address
369 SAN MIGUEL DR STE 100, NEWPORT BEACH, CA 92660-7837
(805) 704-5705
Mailing address
1024 BAYSIDE DR STE 212, NEWPORT BEACH, CA 92660-7462
(805) 704-5705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2017
Last updated
05/13/2025
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