Dianne Longo
Dianne Longo is a Sports Medicine (Family Medicine) Physician in Fullerton, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
1319 Evergreen Ave Apt N2Fullerton, CA 92835-2063
Phone: (714) 697-8359
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Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 2251P0200X (CA) |
|---|
Record details
| NPI number | 1720403553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 3, 2014 |
| Last updated in NPPES | March 3, 2014 |
| Mailing address | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 |