Dr. Joseph M. Longnecker, D.O., INC
Clinic/Center, Primary Care in Placentia, CA. Organization (NPI-2).
NPI number1124322656
StatusActive
Last updated in NPPESMar 21, 2011
Details
- NPI
- 1124322656
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Joseph M. Longnecker, D.O., INC
- Organization subpart
- No
- Enumeration date
- Dec 23, 2010
- Last updated
- Mar 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 20A3180 | CA | Yes |
Practice location
1041 E. Yorba Linda Blvd.Suite 306
Placentia, CA 92870-0000
Phone 714-577-9500 · Fax 714-577-9504
Mailing address
1041 E. Yorba Linda Blvd.Suite 306
Placentia, CA 92870-0000
Phone 714-577-9500 · Fax 714-577-9504
Authorized official
Joseph Milton Longnecker
Owner/Physician
7145779500
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