MEGHAN MARIE LONG PA NPI 1710421508

NPI Information

NPI: 1710421508
Provider Name: MEGHAN MARIE LONG, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA
ZIP 92121
Phone: (858) 859-1188
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Meghan Marie Long, PA is a medical physician assistant in San Diego, CA. Meghan Marie Long, PA NPI is 1710421508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA
ZIP 92121-250
Phone: (858) 859-1188

The enumeration date for this NPI number is 12/13/2016 and was last updated on 5/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		54064	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	54064	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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