Long, Thomas V
Long, Thomas V is an individual health care provider with primary practice located at 1680 S Garfield Ave Ste 204 , Alhambra CA 91801-5413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Long, Thomas V can be contacted via phone (818) 839-5200.Contact Information
Primary practice address
1680 S Garfield Ave Ste 204
Alhambra CA 91801-5413
Phone: (818) 839-5200
Fax: (818) 839-5190
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G73457 | California |
Profile Details
NPI number | 1912924432 |
---|---|
LBN Legal business name | Long, Thomas V |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Nov 27th, 2019 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912924432 | NPPES |
California | MEDICAID | 00G734570 |
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