California Center of Longevity Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A4625 Issued in CA

Legal business name

CALIFORNIA CENTER OF LONGEVITY MEDICINE

Practice address

6325 Topanga Canyon Blvd Ste 501
Woodland Hills, CA 91367-2052

Phone

(818) 346-2621

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Allan Lee Kurtz, D.O.NPI 1679656946

Title

Ceo

Phone

(818) 346-2621

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allan Lee Kurtz, D.O.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1679656946
  Authorized official Same address or phone

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972728947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 501",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672052",
            "telephone_number": "818-346-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD STE 501",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672052",
            "telephone_number": "818-346-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CENTER OF LONGEVITY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-346-2621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A4625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Calderon
• Erin Grace Calderwood
• Peige Caldwell
• Susan Hi Caldwell, R.D.
• California Care Level Management Direct Medical Group, Inc
• California Radiology Management Inc
• California Surgical Center, Inc.
• Veneranda Calimag, RPH
• Calm & Clarity Corp
• Claudia Justine Ortiz Calma

• Internal Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.