Individual
ROGER KENJI LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
A74233
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
A74233
CA
Other
Enumeration date
08/01/2006
Last updated
09/13/2012
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