Individual
WEN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8100 BRUCEVILLE RD, SACRAMENTO, CA 95823-2353
(916) 455-8666
(916) 714-6677
Mailing address
3511 DEL PASO ROAD, SUITE 160, PMB 226, SACRAMENTO, CA 95835
(916) 455-8666
(916) 714-6677
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A113444
CA
Other
Enumeration date
03/23/2007
Last updated
03/03/2020
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