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Organization
AURORA MEDICAL CENTER OF SAN FERNANDO, INC
Active
Organization
AURORA MEDICAL CENTER OF SAN FERNANDO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL LONG M.D. (MEDICAL DIRECTOR)
(415) 244-7404
Entity
Organization
Contact information
Practice address
405 N MACLAY AVE, SUITE # 104, SAN FERNANDO, CA 91340-2445
(818) 361-3318
(818) 361-7309
Mailing address
405 N MACLAY AVE, SUITE # 104, SAN FERNANDO, CA 91340-2445
(818) 361-3318
(818) 361-7309
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
NULL
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104540
—
CA
Enumeration date
05/18/2007
Last updated
11/02/2016
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