LONGEVITY MEDICAL INSTITUTE LLC – NPI #1285455527
Preventive Medicine

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

Health Care Provider Taxonomy Code for Preventive Medicine

LONGEVITY MEDICAL INSTITUTE LLC is a provider practcing outside of the United States. NPPES has assigned the NPI number 1285455527 to LONGEVITY MEDICAL INSTITUTE LLC on October 21, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LONGEVITY MEDICAL INSTITUTE LLC below.

NPI Profile for
LONGEVITY MEDICAL INSTITUTE LLC

NPI Number
1285455527
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LONGEVITY MEDICAL INSTITUTE LLC
Primary location
32 VILLAS DEL MAR
SAN JOSE DEL CABO, BAJA CALIFORNIA SUR 23406
Phone: (702) 401-9300 Fax:
Mailing address
4521 SAN FELIPE ST UNIT 2902
HOUSTON, TX 77027-3388
Phone: (702) 401-8930 Fax:
Organization Subpart
No
Authorized Official
KIRK SANFORD
CEO
Phone: (702) 401-8930
Updated
Certification Date
Oct 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083S0010X
- Preventive Medicine / Sports Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.