Individual
ALEDA A. LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1320 EL CAPITAN DR, DANVILLE, CA 94526-6258
(925) 838-4363
(925) 838-4545
Mailing address
360 ROSE AVE, DANVILLE, CA 94526-3320
(925) 838-4363
(925) 838-4545
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A86547
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A86547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BJ276Z
MEDICARE PTAN
CA
01
—
CB368
MEDICARE PTAN
CA
Enumeration date
11/24/2008
Last updated
07/10/2025
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