DR. JENNIFER LYNN LONG (NPI# 1669657748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669657748 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN LONG |
| Credential | M.D., PH.D. |
| Practice Address |
200 Medical Plaza Suite 550 Los Angeles CA 90095-6975 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3102066688 |
| Practice Fax Number | 3108252810 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | A93108 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1223 16th St Ste 3100, Santa Monica, CA 904041275 | 4242596559 | 4242597789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595178 | Jennifer Long | Acupuncturist | 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655 | 2019-06-04 |
| 1265990501 | Jennifer Long | Chiropractor | 17280 Cherrywood Ct Unit 6002, Bonita Springs, FL 34135-8957 | 2019-03-06 |
| 1891221792 | Jennifer Mildred Long | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2017-05-11 |
| 1164979159 | Jennifer Long | Registered Nurse | 1400 Sylvan Cir, Rochester Hills, MI 48307-2967 | 2016-09-07 |
| 1982054565 | Jennifer Elizabeth Long | Occupational Therapist | 2090 State Route 27, Suite 105, Low Vision Center of Central New Jersey, North Brunswick, NJ 08902-3450 | 2016-06-15 |
| 1154794956 | Jennifer Long | Audiologist | Uwmc Center On Human Development and Disability, 1959 Ne Pacific St., Seattle, WA 98195 | 2015-11-03 |
| 1629395538 | Jennifer Long | Pharmacist | 446 W Main St, Monongahela, PA 15063-2552 | 2010-05-01 |
| 1831334952 | Jennifer Ann Long | Counselor | 1351 Frost Avenue, Senior Recovery Program, St. Paul, MN 55109 | 2008-12-03 |
| 1790830065 | Jennifer Lynn Long | Physical Therapist | 7158 Schock Rd, Palms, MI 48465-9716 | 2007-01-24 |
| 1164515169 | Jennifer Allen Long | Nurse Practitioner | 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 | 2006-10-02 |
| Street Address |
200 MEDICAL PLAZA SUITE 550 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-6975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280901 | Kian Karimi Md Inc | Otolaryngology | 11645 Wilshire Blvd Fl 6, Los Angeles, CA 90025-6807 | 2017-08-07 |
| 1770906687 | David Carl Marcusen | Otolaryngology | 660 N Gramercy Pl, Los Angeles, CA 90004-1702 | 2014-01-28 |
| 1124451505 | Karam Badran | Otolaryngology | 10833 Le Conte Ave Chs 62-132, Department of Head and Neck Surgery, Los Angeles, CA 90095-1624 | 2013-08-20 |
| 1528490554 | Los Angeles Ent Surgical Associates | Otolaryngology | 1700 E. Cesar Chavez Ave, Suite 2500, Los Angeles, CA 90033 | 2013-08-01 |
| 1598011397 | Mehdi Sina | Otolaryngology | 1401 S Bentley Ave Apt 203, Los Angeles, CA 90025-8031 | 2012-07-30 |
| 1134486681 | Kevin Jae Choi | Otolaryngology | 966 S Western Ave Ste 101, Los Angeles, CA 90006-1014 | 2012-04-20 |
| 1649577156 | Hanwon H Cho | Otolaryngology | 11706 Montana Ave Apt 210, Los Angeles, CA 90049-6724 | 2011-02-17 |
| 1588822100 | Gary S Bellack Md Inc | Otolaryngology | 8631 W Third St, Suite 225, Los Angeles, CA 90048-5901 | 2008-05-30 |
| 1730359258 | Kimanh Duong Nguyen | Otolaryngology | 600 South San Vicente Blvd, Los Angeles, CA 90048 | 2008-03-11 |
| 1194927822 | Jocelyn Carol Stamat | Otolaryngology | 11661 San Vicente Blvd, Suite 101, Los Angeles, CA 90049-5103 | 2007-06-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.