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Individual

DR. JAMES T LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
650 MORENO AVENUE, LOS ANGELES, CA 90049
(310) 395-7392
(310) 394-7902
Mailing address
650 MORENO AVENUE, LOS ANGELES, CA 90049
(310) 395-7392
(310) 394-7902

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G19016
CA

Other

Enumeration date
01/18/2006
Last updated
02/26/2013
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