Provider Demographics
NPI:1487888962
Name:FIGUEROA-LONGO, ELIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:FIGUEROA-LONGO
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:23501 PARK SORRENTO
Mailing Address - Street 2:SUITE 216
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1308
Mailing Address - Country:US
Mailing Address - Phone:818-222-7498
Mailing Address - Fax:818-222-7498
Practice Address - Street 1:23501 PARK SORRENTO
Practice Address - Street 2:SUITE 216
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1308
Practice Address - Country:US
Practice Address - Phone:818-222-7495
Practice Address - Fax:818-222-7498
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2010-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA14368363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant