Individual
AARON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MEDICAL PLAZA DRIVEWAY SUITE 460, LOS ANGELES, CA 90095-0001
(310) 825-5582
Mailing address
61 LAWRENCE ST, NEW HAVEN, CT 06511-2649
(423) 883-6794
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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