# FARALLON EYE PHYSICIANS CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUSAN LONGAR, M.D., A PROFESSIONAL CORPORATION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295887966
- **Authorized official:** DR. SUSAN LONGAR MD (PRESIDENT)
- **Authorized official phone:** (650) 992-9221

## Contact information

- **Practice address:** 1850 SULLIVAN AVE, STE 500, DALY CITY, CA 94015-2215
- **Practice address phone:** (650) 992-9221
- **Mailing address:** 1850 SULLIVAN AVE, STE 500, DALY CITY, CA 94015-2221
- **Mailing address phone:** (650) 992-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G75139 | CA | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 05/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 180040517 | RAILROAD | CA |
| 05 | — | GR0100800 | — | CA |
