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
Fax: (818) 839-5190
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912924432 NPPES
California MEDICAID 00G734570

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