Organization
AURORA MEDICAL CENTER OF SAN FERNANDO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL LONG M.D. (MEDICAL DIRECTOR)
(415) 244-7404
Entity
Organization
Contact information
Practice address
405 N MACLAY AVE, SUITE # 104, SAN FERNANDO, CA 91340-2445
(818) 361-3318
(818) 361-7309
Mailing address
405 N MACLAY AVE, SUITE # 104, SAN FERNANDO, CA 91340-2445
(818) 361-3318
(818) 361-7309
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104540
—
CA
Enumeration date
05/18/2007
Last updated
11/02/2016
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