Doan, Long

Doan, Long is an individual health care provider with primary practice located at 26520 Cactus Ave. , Moreno Valley CA 92555. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Doan, Long can be contacted via phone (951) 486-4490.

Contact Information

Primary practice address
26520 Cactus Ave. Moreno Valley CA 92555
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 50777 California

Profile Details

NPI number 1972741304
LBN Legal business name Doan, Long
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2009
Last updated Jan 22nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972741304 NPPES
California MEDICAID PHE435930

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