Roger Kenji Long, M.D.
Pediatrics, Pediatric Endocrinology in San Francisco, CA. Individual provider (NPI-1).
NPI number1285641449
StatusActive
Last updated in NPPESSep 13, 2012
Details
- NPI
- 1285641449
- Entity type
- Individual (NPI-1)
- Name
- Roger Kenji Long
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2006
- Last updated
- Sep 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0205X | Pediatrics, Pediatric Endocrinology | a74233 | CA | Yes |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | a74233 | CA |
Practice location
513 Parnassus Ave # S672San Francisco, CA 94143-0434
Phone 415-476-0750 · Fax 415-476-8214
Mailing address
513 Parnassus Ave # S672San Francisco, CA 94143-0434
Phone 415-476-0750 · Fax 415-476-8214
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