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Organization
ELLEN SONG MD INC.
Active
Organization
ELLEN SONG MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN TERESA SONG M.D. (OWNER)
(949) 748-8866
Entity
Organization
Contact information
Practice address
62 CORPORATE PARK, SUITE 235, IRVINE, CA 92606-3122
(949) 748-8866
(949) 748-8868
Mailing address
62 CORPORATE PARK, SUITE 235, IRVINE, CA 92606-3122
(949) 748-8866
(949) 748-8868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A86825
CA
208000000X
Pediatrics Physician
A86825
CA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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