Longevity Medical Clinic in Kirkland - Specialist
Longevity Medical Clinic - NPI 1023231172
Longevity Medical Clinic is a Specialist in Kirkland, Washington. Longevity Medical Clinic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Longevity Medical Clinic is 1023231172. The last update date is 2011-06-21.
Longevity Medical Clinic's current location address is 9757 Ne Juanita Dr, Kirkland, Washington. You can contact this provider via phone number 4255769272 and fax number 4255760894. The mailing address for Longevity Medical Clinic is 9757 Ne Juanita Dr, Kirkland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Longevity Medical Clinic |
|---|---|
| Address | 9757 Ne Juanita Dr, Kirkland, Washington |
| Phone Number | 4255769272 |
| Fax Number | 4255760894 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Mixon N Jerry |
| Credentials | M.D. |
| Telephone Number | 4255769272 |
NPI Number Detail
| NPI Number | 1023231172 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2011-06-21 |
Provider Mailing Address Detail
| Address | 9757 Ne Juanita Dr |
|---|---|
| City | Kirkland |
| State | Washington (WA) |
| Post Code | 980344299 |
| Phone Number | 4255769272 |
| Fax Number | 4255760894 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD23643 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Longevity Medical Clinic by the Centers for Medicare & Medicaid Services?
The Longevity Medical Clinic has been issued the NPI (National Provider Identifier) 1023231172, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Longevity Medical Clinic's facilities are situated?
The facilities of Longevity Medical Clinic are physically located at the following address: 9757 Ne Juanita Dr, Kirkland, WA, 980344299.
What is the Longevity Medical Clinic's area of specialization and corresponding taxonomy classification?
The Longevity Medical Clinic's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date was the 1023231172 assigned to Longevity Medical Clinic?
The Longevity Medical Clinic was issued its 1023231172 on 2007-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Longevity Medical Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Longevity Medical Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-21.