NAITIVICTOR L ONG

LOS ANGELES, CA
NPI1013084862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA12661)
Enumeration Date2006-11-29
Last Update Date2008-09-23
Business Address
NAITIVICTOR L ONG PA
4733 W SUNSET BLVD
LOS ANGELES, CA 90027-6021
Phone number: 323-783-4011
Mailing Address
NAITIVICTOR L ONG PA
4733 W SUNSET BLVD
LOS ANGELES, CA 90027-6021
Phone number: 323-783-4011
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