| Organization Name: | DR. JOSEPH M. LONGNECKER, D.O., INC |
| NPI Number: | 1124322656 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH MILTON LONGNECKER (OWNER/PHYSICIAN) |
| Mailing Address: | 1041 E. Yorba Linda Blvd. Suite 306 Placentia |
| State: | CA US |
| Postal Code: | 928700000 |
| Phone Number: | 7145779500 |
| Fax Number: | 7145779504 |
| NPI Enumeration Date: | 12/23/2010 |
| NPI Last Update Date: | 03/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 20A3180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |