NPI 1003736877

Longev

Organisation Physical Medicine & Rehabilitation Physician La Jolla, CA

Practice location

Address: 888 Prospect St STE 130, La Jolla, CA 92037-4260
Phone: (619) 363-5132

Authorised official

Name: Brandon Kalasho
Title: President
Phone: (619) 363-5132

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in California →

Registry record

NPI: 1003736877
Entity type: Organization
NPI issued: 20 Jul 2026
Record last updated: 20 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.