MEDICARE: DR. MARTA E LONG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	A0101009	CA
2	207R00000X	Internal Medicine Physician	A0101009	CA

General Provider Information

NPI Number	:	1205860509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTA E LONG MD

Provider Business Mailing Address
First Line	:	PO BOX 63524
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92602-6116
Country	:	US
Telephone Number	:	949-237-2949
Fax Number	:

Provider Business Practice Location Address
First Line	:	19712 MACARTHUR BLVD STE 110
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-2407
Country	:	US
Telephone Number	:	949-237-2949
Fax Number	:	682-219-0893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	05/14/2021

Similar Medicare Providers

1215304308 — KRYSTAL DANIELLE LOPEZ PSY.D
Practice Location Address:

19712 MACARTHUR BLVD STE 110
IRVINE, CA
92612-2407

Practice Phone: 949-228-9776
Practice Fax:

1710580790 — MARLEY COTE LMFT
Practice Location Address:

19712 MACARTHUR BLVD STE 110
IRVINE, CA
92612-2407

Practice Phone: 714-725-9897
Practice Fax:

1063574895 — MELISSA MCMANIS LCSW
Practice Location Address:

19712 MACARTHUR BLVD
IRVINE, CA
92612-2407

Practice Phone: 562-656-0788
Practice Fax: 916-857-9402

1346446978 — MS. KRISTEN MILLER BURTON M.A.
Practice Location Address:

19712 MACARTHUR BLVD STE 110
IRVINE, CA
92612-2407

Practice Phone: 310-383-1263
Practice Fax:

1699944082 — DR. JAMES ALLEN GAOR M.D.
Practice Location Address:

19712 MACARTHUR BLVD STE 100
IRVINE, CA
92612-2407

Practice Phone: 949-486-8530
Practice Fax: 949-486-8531

1912170598 — NICOLE MARIE REILLY MD, LMFT
Practice Location Address:

19712 MACARTHUR BLVD STE 110
IRVINE, CA
92612-2407

Practice Phone: 949-264-3325
Practice Fax:

Directions to “ DR. MARTA E LONG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.