Organization
WILLIAM LONG, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LONG MD (OWNER/SURGEON)
(213) 977-2397
Entity
Organization
Contact information
Practice address
637 S. LUCAS AVE. 1ST FL., LOS ANGELES, CA 90017
(213) 977-2280
Mailing address
637 S. LUCAS AVE. 1ST FL., LOS ANGELES, CA 90017
(213) 977-2280
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
G60239
CA
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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