# JOHN B LONG MD A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386711455
- **Authorized official:** DR. JOHN B LONG MD (CEO)
- **Authorized official phone:** (415) 750-3887

## Contact information

- **Practice address:** 3838 CALIFORNIA ST RM 612, SAN FRANCISCO, CA 94118-1508
- **Practice address phone:** (415) 750-3887
- **Practice address fax:** (415) 221-7052
- **Mailing address:** 3838 CALIFORNIA ST RM 612, SAN FRANCISCO, CA 94118-1508
- **Mailing address phone:** (415) 750-3887
- **Mailing address fax:** (415) 221-7052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G40974 | CA | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 01/23/2008