SUSAN LONG

LOS GATOS, CA
NPI1386088599
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A16648)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MD  H82834)
Enumeration Date2013-04-18
Last Update Date2022-12-07
Business Address
SUSAN LONG DO
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032-2541
Phone number: 408-340-5712
Mailing Address
SUSAN LONG DO
15425 LOS GATOS BLVD STE 120
LOS GATOS, CA 95032-2541
Phone number: 408-340-5712