Individual
DR. NICOLA LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 MEDICAL PLAZA SUITE 3100, LOS ANGELES, CA 90095-1287
(310) 301-8732
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8732
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
C196187
CA
207SG0202X
Clinical Biochemical Genetics Physician
12808
NV
207SG0202X
Clinical Biochemical Genetics Physician
4916705-1205
UT
Other
Enumeration date
11/03/2006
Last updated
06/13/2024
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