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Individual

DR. JAVIER ANTONIO LONGORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(855) 355-5864
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A115684
CA
207RP1001X
Pulmonary Disease Physician
Primary
A115684
CA

Other

Enumeration date
06/25/2009
Last updated
09/19/2017
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