Individual
ALICE KWON-SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15825 LAGUNA CANYON RD STE 104, IRVINE, CA 92618-2126
(949) 585-9870
Mailing address
11052 LINDA LN APT B, GARDEN GROVE, CA 92840-5216
(213) 800-1947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95030728
CA
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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