# CENTER FOR OCULOFACIAL AND ORBITAL SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619151339
- **Authorized official:** DR. ALICE SONG M.D. (OPHTHALMOLOGY OCULOPLASTICS)
- **Authorized official phone:** (312) 282-2982

## Contact information

- **Practice address:** 2888 LONG BEACH BLVD, 235, LONG BEACH, CA 90806-1530
- **Practice address phone:** (562) 427-0700
- **Practice address fax:** (562) 427-2525
- **Mailing address:** PO BOX 3187, CERRITOS, CA 90703-3187
- **Mailing address phone:** (312) 282-2982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 12/24/2009