Individual provider · Type 1 NPI

Carissa Longo, MD

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1013760453 Active

Practice location

1825 4th St
San Francisco, CA 94143-2350

Mailing address

14280 S Military Trl, P.o. Box 7573
Delray Beach, FL 33484

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013760453

Carissa Longo, MD's National Provider Identifier is 1013760453, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 8, 2024.