Individual
DR. BRETT D LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22972 EL TORO RD, LAKE FOREST, CA 92630-4961
(949) 329-8126
(949) 586-2225
Mailing address
22972 EL TORO RD, LAKE FOREST, CA 92630-4961
(949) 329-8126
(949) 586-2225
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
33676
CA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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