Marta Long Md | |
19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 | |
(949) 237-2949 | |
(682) 219-0893 |
Full Name | Marta Long Md |
---|---|
Speciality | Clinic/Center |
Location | 19712 Macarthur Blvd Ste 110, Irvine, California |
Authorized Official Name and Position | Marta Elizabeth Long (PRESIDENT) |
Authorized Official Contact | 9492372949 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Marta Long Md Po Box 63524 Irvine CA 92602-6116 Ph: (949) 237-2949 | Marta Long Md 19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 Ph: (949) 237-2949 |
NPI Number | 1205401387 |
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Provider Enumeration Date | 05/21/2021 |
Last Update Date | 07/12/2023 |
Medicare PECOS PAC ID | 0042674475 |
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Medicare Enrollment ID | O20230918003190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205401387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Marta Elizabeth Long |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205860509 PECOS PAC ID: 6204831019 Enrollment ID: I20230918003358 |
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