Individual
DR. MATTHEW DOUGLASS LONGACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 264-7600
Mailing address
1700 E CESAR E CHAVEZ AVE STE 2200, LOS ANGELES, CA 90033-2476
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A111961
CA
Other
Enumeration date
04/22/2010
Last updated
08/11/2014
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