# DR. BRYAN EDWARD LONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700013638
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C-151803 | CA | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | 151803 | CA | — |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 01/08/2024