Organization
HUONG-ANH NGO LONG, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUONG-ANH NGO LONG M.D. (OWNER)
(310) 514-5208
Entity
Organization
Contact information
Practice address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 514-5208
(310) 514-5374
Mailing address
1621 W 25TH ST, #161, SAN PEDRO, CA 90732-4301
(310) 514-5208
(310) 514-5374
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G62453
CA
Other
Enumeration date
06/21/2007
Last updated
08/22/2020
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