Dennis R. Long, M.D. Inc.

LBN: Dennis R. Long, M.D. Inc.
Dennis R. Long, M.D. Inc. is an health care organization with primary practice located at 2601 E Chapman Ave , Orange CA 92869-3206. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Dennis R. Long, M.D. Inc. can be contacted via phone (951) 532-5005, or through Williamson, Sandi via phone (951) 532-5005.

Contact Information

Primary practice address
2601 E Chapman Ave Orange CA 92869-3206
Phone: (951) 532-5005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williamson, Sandi
Phone: (951) 532-5005

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 00G472430 California

Profile Details

NPI number 1407954852
LBN Legal business name Dennis R. Long, M.D. Inc.
DBA Doing business as
Authorized official Williamson, Sandi
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 16th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407954852 NPPES
California Other 00G472430 BLUE CROSS/SHIELD
California Other HG47243 BLUE CROSS/SHIELD
California MEDICAID 00G472430 BLUE CROSS/SHIELD

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