Theresa A Longo in Riverside - Pediatric Critical Care Medicine
Theresa A Longo - NPI 1902990518
Theresa A Longo is a Pediatric Critical Care Medicine in Riverside, California. Theresa A Longo practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Theresa A Longo is 1902990518. The last update date is 2022-12-26.
Theresa A Longo's current location address is 17575 Wicker Way, Riverside, California. You can contact this provider via phone number 9519616529. The mailing address for Theresa A Longo is 17575 Wicker Way, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa A Longo |
|---|---|
| Address | 17575 Wicker Way, Riverside, California |
| Phone Number | 9519616529 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902990518 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2022-12-26 |
Provider Mailing Address Detail
| Address | 17575 Wicker Way |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925049563 |
| Phone Number | 9519616529 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | G59848 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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What is the Theresa A Longo's 1902990518?
The Theresa A Longo's NPI (National Provider Identifier) Number is 1902990518. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Theresa A Longo's facilities are geographically located?
The facilities of Theresa A Longo are physically situated at the following location: 17575 Wicker Way, Riverside, CA, 925049563.
What is Theresa A Longo's area of expertise and its corresponding taxonomy classification?
The Theresa A Longo's field of specialization is Pediatric Critical Care Medicine, and it falls under the taxonomy code 2080P0203X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902990518 to Theresa A Longo?
The Centers for Medicare & Medicaid Services originally issued the 1902990518 to Theresa A Longo on 2006-10-03.
As of what date were the Theresa A Longo's details last updated?
The information pertaining to the Theresa A Longo, including its address, specialty, and other details, was most recently updated on 2022-12-26.
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