Theresa A Longo
MD | Pediatric Critical Care Medicine | Female
Theresa A Longo, MD is a Riverside, California based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Theresa A Longo is
17575 Wicker Way, Riverside, California - 92504-9563. She can be contacted on phone at
951-780-9389 and fax number 951-780-9389.
Theresa A Longo is a sole proprietor of her business.
NPI number (Unique professional ID) for Theresa A Longo is
1902990518 which was assigned by NPPES on 03 Oct, 2006 and it was last updated on 26 Dec, 2022.
Theresa A Longo license number is
G59848 for Pediatrics, Pediatric Critical Care Medicine (2080P0203X) in California.
Theresa A Longo is 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 surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Theresa A Longo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Critical Care Medicine |
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| Provider Name : | Theresa A Longo |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Theresa A Longo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 17575 Wicker Way
Riverside, CA, 92504-9563
United States |
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| Phone Number : | 951-780-9389 |
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| Fax Number : | 951-780-9389 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1902990518 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2006 |
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| Last Updated On : | 26 Dec, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Theresa A Longo are as mentioned. Primary taxonomy code for Theresa A Longo, MD is
2080P0203X (Pediatrics, Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | Yes | G59848 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Theresa A Longo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 208905174 | MEDICARE PIN | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 17575 Wicker Way
Riverside, CA, 92504-9563
United States |
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| Phone Number : | 951-961-6529 |
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Business Location:
Patients can refer following map for directions to
Theresa A Longo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.