# AURORA MEDICAL CENTER OF SAN FERNANDO, INC

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

## Provider details

- **NPI number:** 1669680443
- **Authorized official:** DR. RACHEL LONG M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (415) 244-7404

## Contact information

- **Practice address:** 405 N MACLAY AVE, SUITE \# 104, SAN FERNANDO, CA 91340-2445
- **Practice address phone:** (818) 361-3318
- **Practice address fax:** (818) 361-7309
- **Mailing address:** 405 N MACLAY AVE, SUITE \# 104, SAN FERNANDO, CA 91340-2445
- **Mailing address phone:** (818) 361-3318
- **Mailing address fax:** (818) 361-7309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2007
- **Last updated:** 11/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0104540 | — | CA |