Organization
MARTA LONG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA ELIZABETH LONG MD (PRESIDENT)
(949) 237-2949
Entity
Organization
Contact information
Practice address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(949) 237-2949
(682) 219-0893
Mailing address
PO BOX 63524, IRVINE, CA 92602-6116
(949) 237-2949
(682) 219-0893
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
07/12/2023
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