Longo, Adriana Cervantes
Longo, Adriana Cervantes is an individual health care provider with primary practice located at 12100 Euclid St 3Rd Floor, Garden Grove CA 92840-3304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Longo, Adriana Cervantes can be contacted via phone (714) 741-3685.Contact Information
Primary practice address
12100 Euclid St 3Rd Floor
Garden Grove CA 92840-3304
Phone: (714) 741-3685
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 212882 | Massachusetts |
Profile Details
| NPI number | 1124004999 |
|---|---|
| LBN Legal business name | Longo, Adriana Cervantes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Dec 21st, 2021 - about 5 years ago |
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 | 1124004999 | NPPES |
| Massachusetts | MEDICAID | 0183920 |
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