Lynnette Marie Long, DOCTORATE

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

9840 1/2 Maple St
Bellflower, CA 90706-5956

Phone

(951) 858-7224

Fax

(951) 858-7224

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1750112660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 E WASHINGTON BLVD # 1583",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401405",
            "telephone_number": "951-858-7224",
            "fax_number": "951-858-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 1/2 MAPLE ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065956",
            "telephone_number": "951-858-7224",
            "fax_number": "951-858-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LYNNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DOCTORATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Monique Loera
• Hyacinth Bantilan Logrono
• Loi Thanh Mai OD Inc
• Christina Long
• Evan Long, B.A.
• Lee Ann Longo
• Jaclyn Loo
• Ronald K. Loo, MD
• Juan Jose Lopez Sr.
• Maria Rocio Lopez

• Pastoral Counselor in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Pastoral Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.