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Organization
CENTER FOR OCULOFACIAL AND ORBITAL SURGERY
Active
Organization
CENTER FOR OCULOFACIAL AND ORBITAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE SONG M.D. (OPHTHALMOLOGY OCULOPLASTICS)
(312) 282-2982
Entity
Organization
Contact information
Practice address
2888 LONG BEACH BLVD, 235, LONG BEACH, CA 90806-1530
(562) 427-0700
(562) 427-2525
Mailing address
PO BOX 3187, CERRITOS, CA 90703-3187
(312) 282-2982
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/24/2009
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