Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANNE LONGO
ActiveDIANNE LONGO is a Sports Medicine healthcare provider located in FULLERTON, California. NPI 1720403553 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · FULLERTON, CA
Registration Details
- NPI Number
- 1720403553
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2014 (12.493545722279 yrs)
- Last Updated
- Mar 3, 2014
- License
-
2251P0200X (CA)
Practice Information
- Address
-
1319 EVERGREEN AVEAPT N2FULLERTON, CA, 928352063Browse CA providers · Browse ZIP 92835
- Phone
- 7146978359
- Primary Specialty
-
Sports Medicine
207QS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.