Jacqueline Long, MD

NPI 1568662518 · on the registry since 2007 · sole proprietor

Practice

Address: 16756 Chino Corona Rd
Corona, CA 92880
Phone: (909) 772-9434
Organisation at this address: State Of California
Corrections And Rehabilitation-Headquarters
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 49

Registry record

Primary taxonomy: 207V00000X
207V00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California