Long, Simon
Long, Simon is an individual health care provider with primary practice located at 101 The City Dr S , Orange CA 92868-3201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Long, Simon can be contacted via phone (714) 456-7237.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 150610 | California |
Profile Details
| NPI number | 1285900787 |
|---|---|
| LBN Legal business name | Long, Simon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2012 |
| Last updated | May 8th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285900787 | NPPES |
| Maryland | MEDICAID | N/A | |
| Maryland | Other | N/A |
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