Organization
HEALTHY LONGEVITY MEDICAL CENTER
Active
Organization
HEALTHY LONGEVITY MEDICAL CENTER
Active
Other names
infinity Summer Services, Healthy longevity Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AIDA SOULEIMAN NP (OWNER)
(949) 413-1955
Entity
Organization
Contact information
Practice address
441 E CARSON ST STE K, CARSON, CA 90745-7713
(949) 413-1955
Mailing address
552 E CARSON ST APT 409, CARSON, CA 90745-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/08/2023
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