Individual
ANN LEE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102203886
VA
207P00000X
Emergency Medicine Physician
Primary
19425
CA
Other
Enumeration date
01/25/2013
Last updated
11/07/2023
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