Longevity Clinics & Research Institute

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

LONGEVITY CLINICS & RESEARCH INSTITUTE

Practice address

400 E Live Oak Ave
Arcadia, CA 91006-5619

Phone

(626) 662-0288

NPI assigned

Oct 20, 2022

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Lin

Title

Managing Director & Cfo

Phone

(626) 255-9755

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1437876414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065619",
            "telephone_number": "626-662-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065619",
            "telephone_number": "626-662-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY CLINICS & RESEARCH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING DIRECTOR & CFO",
        "authorized_official_telephone_number": "626-255-9755"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorna Logan, NP
• Stephen Michael Lojeski, D.D.S.
• Chiu-Yu Lok
• Valerie Lomeli
• Vincent Long, D.C.
• Alfonso Ray Loomis, D.M.D.
• Corina Lopez Ramos
• Reyna Jackie Lopez-Martinez
• Lorena Lopez
• Maria Lopez

• Other Specialist/Technologist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.