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Individual

AUSTIN LONGBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
26800 CROWN VALLEY PKWY STE 435, MISSION VIEJO, CA 92691-8023
(949) 542-8007
Mailing address
26800 CROWN VALLEY PKWY STE 435, MISSION VIEJO, CA 92691-8023
(949) 542-8007

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A18173
CA

Other

Enumeration date
04/05/2016
Last updated
11/05/2021
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