DR. JUSTIN LONG D.C. NPI 1336145267

NPI Information

NPI: 1336145267
Provider Name: DR. JUSTIN LONG, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
11498 PIERCE ST
STE B
RIVERSIDE, CA
ZIP 92505
Phone: (951) 354-6294
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DR. Justin Long, D.C. is a chiropractor in Riverside, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Justin Long, D.C. NPI is 1336145267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11498 PIERCE ST
STE B
RIVERSIDE, CA
ZIP 92505-308
Phone: (951) 354-6294
Fax: (951) 354-6295

The enumeration date for this NPI number is 6/24/2005 and was last updated on 7/8/2007.

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	111N00000X	Chiropractor		28576	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DC 0285760	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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