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Organization
FARALLON EYE PHYSICIANS CORP
Active
Organization
FARALLON EYE PHYSICIANS CORP
Active
Other names
SUSAN LONGAR, M.D., A PROFESSIONAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LONGAR MD (PRESIDENT)
(650) 992-9221
Entity
Organization
Contact information
Practice address
1850 SULLIVAN AVE, STE 500, DALY CITY, CA 94015-2215
(650) 992-9221
Mailing address
1850 SULLIVAN AVE, STE 500, DALY CITY, CA 94015-2221
(650) 992-9221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G75139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180040517
RAILROAD
CA
05
—
GR0100800
—
CA
Enumeration date
01/16/2007
Last updated
05/17/2023
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