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Contact Information

LONG T BACH, MD
10800 MAGNOLIA AVE
RIVERSIDE, CA92505-3043
 Phone: 909-353-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LONG T BACH · (Male)

NPI # 1285701003
Status Active
Credentials MD
Entity Individual
Enumeration date 11/29/2006
Last updated 12/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A66596
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL RIVERSIDE - (Acute Care)
    10800 MAGNOLIA AVENUE
    RIVERSIDE, CA 92505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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