Individual
MATTHEW THOMAS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2600 REDONDO AVE, LONG BEACH, CA 90806-2325
(562) 988-7000
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2OA8553
CA
Other
Enumeration date
08/19/2006
Last updated
04/30/2026
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