Individual
GREGORY J LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
23961 CALLE DE LA MAGDALENA STE 153, LAGUNA HILLS, CA 92653-3616
(949) 581-3890
(949) 581-6067
Mailing address
23961 CALLE DE LA MAGDALENA STE 153, LAGUNA HILLS, CA 92653-3616
(949) 581-3890
(949) 581-6067
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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