| Marta Long MD | |
|
19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 | |
| (949) 237-2949 | |
| (682) 219-0893 |
| Full Name | Marta Long MD |
|---|---|
| Speciality | Clinic/Center |
| Location | 19712 Macarthur Blvd Ste 110, Irvine, California |
| Authorized Official Name and Position | Marta Elizabeth Long (PRESIDENT) |
| Authorized Official Contact | 9492372949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marta Long MD Po Box 63524 Irvine CA 92602-6116 Ph: (949) 237-2949 | Marta Long MD 19712 Macarthur Blvd Ste 110 Irvine CA 92612-2407 Ph: (949) 237-2949 |
| NPI Number | 1205401387 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 0042674475 |
|---|---|
| Medicare Enrollment ID | O20230918003190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205401387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Marta Elizabeth Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205860509 PECOS PAC ID: 6204831019 Enrollment ID: I20230918003358 |
New Skin and Body Aesthetics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4980 Barranca Parkway, 201, Irvine, CA 92604 Phone: 949-485-2100 |
Synergy Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4330 Barranca Pkwy Ste 245, Irvine, CA 92604 Phone: 949-273-2888 Fax: 949-273-2801 |
Eleven Eleven Esthetics LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4482 Barranca Pkwy Ste 180, Irvine, CA 92604 Phone: 949-502-5050 |
Red Acorn Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Purplejasmine, Irvine, CA 92620 Phone: 714-922-0017 |
Tekyogi, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 Shadow Oaks, Irvine, CA 92618 Phone: 408-828-9909 |
Pci Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2151 Michelson Dr, Suite 260, Irvine, CA 92612 Phone: 714-462-8181 Fax: 888-504-6948 |