Individual
DR. SUSAN LONGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1850 SULLIVAN AVE, STE 500, DALY CITY, CA 94015-2221
(650) 992-9221
Mailing address
1850 SULLIVAN AVE, STE 500, DALY CITY, CA 94015-2221
(650) 992-9221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G751390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180040517
MEDICARE RAILROAD
CA
01
—
4337450001
NORIDAN
CA
Enumeration date
06/13/2006
Last updated
02/08/2008
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