Provider Demographics
NPI:1376046185
Name:HUA, LONG KHANH (MD)
Entity type:Individual
Prefix:
First Name:LONG
Middle Name:KHANH
Last Name:HUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1050 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3321
Mailing Address - Country:US
Mailing Address - Phone:562-491-9140
Mailing Address - Fax:562-491-9146
Practice Address - Street 1:8970 WARNER AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3211
Practice Address - Country:US
Practice Address - Phone:714-477-8400
Practice Address - Fax:714-477-8401
Is Sole Proprietor?:No
Enumeration Date:2018-03-18
Last Update Date:2024-01-26
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Provider Licenses
StateLicense IDTaxonomies
CAA167103207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine