Organization
DR. BRETT LONG, LONGEVITY CHIROPRACTIC, INC
Active
Organization
DR. BRETT LONG, LONGEVITY CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT LONG DC (DOCTOR AND OWNER OF PRACTICE)
(949) 329-8126
Entity
Organization
Contact information
Practice address
22972 EL TORO RD, LAKE FOREST, CA 92630-4961
(949) 472-4007
(949) 586-2225
Mailing address
22972 EL TORO RD, LAKE FOREST, CA 92630-4961
(949) 472-4007
(949) 586-2225
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
33676
CA
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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