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Individual

DR. SIMON LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7237
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
150610
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
MEDICARE
MD
05
N/A
MD
Enumeration date
03/29/2012
Last updated
05/08/2024
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